Lab & pathology prices at Lima Memorial Health System
Lima, OH · every code in this section with a posted price and a Medicare benchmark.
1490 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | $18 | $20 | 1.2× |
| 17-Hydroxypregnenolone (84143) range across 3 matching MRF lines |
$28.80–$157.50 | $32–$175 | varies |
| 5 Nucleotidase (83915) range across 2 matching MRF lines |
$13.50–$48.60 | $15–$54 | varies |
| Abl1 gene analysis kinase domain variants (81170) range across 2 matching MRF lines |
$369–$866.70 | $410–$963 | varies |
| Acetylcholine receptor binding antibody (86041) | $177.30 | $197 | 9.6× |
| Acetylcholine receptor blocking antibody (86042) | $111.60 | $124 | 6.1× |
| Acetylcholinesterase Assay (82013) | $14.40 | $16 | 1.2× |
| Acetylcholn Rcptr Modlg Antb (86043) | $131.40 | $146 | 10.9× |
| Acth (82024) range across 3 matching MRF lines |
$47.70–$167.40 | $53–$186 | varies |
| Acth Stimulation Panel Adrenal Insufficiency (80400) range across 3 matching MRF lines |
$40.50–$444.60 | $45–$494 | varies |
| ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) | $107.10 | $119 | 1.2× |
| ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) | $96.30 | $107 | 1.2× |
| Actin smooth muscle antibody each (86015) | $99.90 | $111 | 8.3× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$59.40–$689.40 | $66–$766 | varies |
| Acylcarnitines Quant (82017) range across 2 matching MRF lines |
$21.60–$53.10 | $24–$59 | varies |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $21.60 | $24 | 1.3× |
| Adenovirus antibody (86603) range across 2 matching MRF lines |
$15.30–$76.50 | $17–$85 | varies |
| AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis;… (81171) | $168.30 | $187 | 1.2× |
| AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis;… (81172) | $338.40 | $376 | 1.2× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) range across 3 matching MRF lines |
$79.20–$236.70 | $88–$263 | varies |
| Agglutinins Febrile Each Antigen (86000) range across 2 matching MRF lines |
$8.10–$11.70 | $9–$13 | varies |
| Albumin Fluid (82042) range across 4 matching MRF lines |
$9–$351.90 | $10–$391 | varies |
| Albumin ischemia modified (82045) | $41.40 | $46 | 1.2× |
| Albumin serum (82040) range across 10 matching MRF lines |
$6.30–$36 | $7–$40 | varies |
| Aldolase (82085) range across 2 matching MRF lines |
$11.70–$57.60 | $13–$64 | varies |
| Aldosterone Suppression Evaluation Panel (80408) | $153.90 | $171 | 1.2× |
| Aldosterone urine (82088) range across 4 matching MRF lines |
$49.50–$150.30 | $55–$167 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$18–$59.40 | $20–$66 | varies |
| Allergen spec ige qual multiallergen screen (86005) range across 2 matching MRF lines |
$9–$112.50 | $10–$125 | varies |
| Allergen specific ige (86003) range across 96 matching MRF lines |
$6.30–$1,275.30 | $7–$1,417 | varies |
| Allergen specific igg (86001) range across 12 matching MRF lines |
$9–$108.90 | $10–$121 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 42 matching MRF lines |
$22.50–$111.60 | $25–$124 | varies |
| Alpha-1-antitrypsin phenotype (82104) range across 3 matching MRF lines |
$16.20–$90 | $18–$100 | varies |
| Alpha-1-antitrypsin total (82103) range across 4 matching MRF lines |
$15.30–$86.40 | $17–$96 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $21.60 | $24 | 1.3× |
| Alpha-Fetoprotein Serum (82105) range across 4 matching MRF lines |
$21.60–$79.20 | $24–$88 | varies |
| Alt (sgpt) (84460) range across 10 matching MRF lines |
$5.40–$94.50 | $6–$105 | varies |
| Aluminum (82108) range across 2 matching MRF lines |
$31.50–$82.80 | $35–$92 | varies |
| Amikacin trough (80150) range across 3 matching MRF lines |
$18–$296.10 | $20–$329 | varies |
| Amines vaginal fluid qualitative (82120) | $7.20 | $8 | 1.2× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$28.80–$81.90 | $32–$91 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
$21.60–$318.60 | $24–$354 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $16.20 | $18 | 1.2× |
| Amino Acids Quant 2-5 (82136) range across 3 matching MRF lines |
$24.30–$243.90 | $27–$271 | varies |
| Amino acids; single, qualitative, each specimen Facility (82127) range across 2 matching MRF lines |
$16.20–$140.40 | $18–$156 | varies |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$21.60–$76.50 | $24–$85 | varies |
| Ammonia (82140) range across 3 matching MRF lines |
$16.20–$369.90 | $18–$411 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 2 matching MRF lines |
$120.60–$265.50 | $134–$295 | varies |
| Amniotic fluid scan (82143) | $11.70 | $13 | 1.3× |
| Amylase urine (82150) range across 8 matching MRF lines |
$7.20–$173.70 | $8–$193 | varies |
| Ana Titer (86039) range across 3 matching MRF lines |
$13.50–$331.20 | $15–$368 | varies |
| Analysis skeletal muscle (88355) | $187.20 | $208 | 1.2× |
| Anca screen each antibody (86036) range across 3 matching MRF lines |
$52.20–$171.90 | $58–$191 | varies |
| Androstanediol Glucuronide (82154) range across 2 matching MRF lines |
$36–$86.40 | $40–$96 | varies |
| Androstenedione (82157) range across 2 matching MRF lines |
$36–$186.30 | $40–$207 | varies |
| Androsterone (hormone) level (82160) | $31.50 | $35 | 1.2× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$16.20–$207 | $18–$230 | varies |
| Angiotensin II (82163) | $25.20 | $28 | 1.2× |
| Animal inoculation, small animal, with observation and dissection Facility (87003) | $21.60 | $24 | 1.3× |
| Anti-Phospholipid Antibody (86148) range across 3 matching MRF lines |
$20.70–$74.70 | $23–$83 | varies |
| Antibody aspergillus (86606) range across 3 matching MRF lines |
$18–$88.20 | $20–$98 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 3 matching MRF lines |
$15.30–$158.40 | $17–$176 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$20.70–$60.30 | $23–$67 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 4 matching MRF lines |
$21.60–$192.60 | $24–$214 | varies |
| Antibody Encephalitis California La Crosse (86651) range across 2 matching MRF lines |
$15.30–$182.70 | $17–$203 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$15.30–$322.20 | $17–$358 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$18–$59.40 | $20–$66 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 4 matching MRF lines |
$22.50–$71.10 | $25–$79 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 4 matching MRF lines |
$14.40–$184.50 | $16–$205 | varies |
| Antibody haemophilus influenza (86684) range across 2 matching MRF lines |
$20.70–$95.40 | $23–$106 | varies |
| Antibody helicobacter pylori (86677) | $21.60 | $24 | 1.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 6 matching MRF lines |
$16.20–$162.90 | $18–$181 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 4 matching MRF lines |
$15.30–$30.60 | $17–$34 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 3 matching MRF lines |
$15.30–$135 | $17–$150 | varies |
| Antibody HIV-2 (86702) range across 2 matching MRF lines |
$15.30–$81 | $17–$90 | varies |
| Antibody Hla Class I High Definition Panel Qual (86832) | $398.70 | $443 | 1.2× |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | $117 | $130 | 1.2× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $101.70 | $113 | 1.2× |
| Antibody hla class ii semiquantitative panel (86835) | $396.90 | $441 | 1.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$24.30–$217.80 | $27–$242 | varies |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$18–$252.90 | $20–$281 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $14.40 | $16 | 1.2× |
| Antibody john cunningham virus (86711) | $21.60 | $24 | 1.3× |
| Antibody leishmania (86717) range across 2 matching MRF lines |
$14.40–$129.60 | $16–$144 | varies |
| Antibody Lymphocytic Choriomeningitis (86727) range across 2 matching MRF lines |
$15.30–$167.40 | $17–$186 | varies |
| Antibody neisseria meningitidis (86741) | $15.30 | $17 | 1.2× |
| Antibody nocardia (86744) range across 2 matching MRF lines |
$20.70–$279.90 | $23–$311 | varies |
| Antibody plasmodium malaria (86750) range across 2 matching MRF lines |
$15.30–$141.30 | $17–$157 | varies |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$14.40–$134.10 | $16–$149 | varies |
| Antibody rotavirus (86759) | $23.40 | $26 | 1.3× |
| Antibody Titer (86886) range across 4 matching MRF lines |
$6.30–$234.90 | $7–$261 | varies |
| Antibody Treponema Pallidum (86780) range across 5 matching MRF lines |
$15.30–$95.40 | $17–$106 | varies |
| Antibody yersinia (86793) range across 2 matching MRF lines |
$15.30–$116.10 | $17–$129 | varies |
| Antibody; campylobacter (86625) range across 2 matching MRF lines |
$15.30–$135.90 | $17–$151 | varies |
| Antibody; encephalitis, st. louis (86653) range across 2 matching MRF lines |
$15.30–$131.40 | $17–$146 | varies |
| Antibody; influenza virus (86710) range across 4 matching MRF lines |
$15.30–$81.90 | $17–$91 | varies |
| Antibody; mucormycosis Facility (86732) | $18 | $20 | 1.2× |
| Antigen typing (86905) range across 3 matching MRF lines |
$4.36–$247.50 | $4.84–$275 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 3 matching MRF lines |
$6.30–$173.70 | $7–$193 | varies |
| Antinomyces antibody (86602) | $12.60 | $14 | 1.2× |
| Antinuclear antibodies (86038) range across 4 matching MRF lines |
$14.40–$310.50 | $16–$345 | varies |
| Antistreptolysin O Screen (86063) range across 2 matching MRF lines |
$7.20–$351.90 | $8–$391 | varies |
| Antistreptolysin o titer (86060) range across 3 matching MRF lines |
$8.10–$278.10 | $9–$309 | varies |
| Antithrombin iii activity (85300) range across 3 matching MRF lines |
$13.50–$162 | $15–$180 | varies |
| Antithrombin iii antigen (85301) range across 2 matching MRF lines |
$12.60–$88.20 | $14–$98 | varies |
| Aortic dysfunction/dilation dup/del analysis (81411) | $1,659.60 | $1,844 | 1.2× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $620.10 | $689 | 1.2× |
| Apc Gene Analysis Known Familial Variants (81202) | $342.90 | $381 | 1.2× |
| Apc gene dup/delet variants (81203) | $245.70 | $273 | 1.2× |
| Apc gene full sequence (81201) | $957.60 | $1,064 | 1.2× |
| Apolipoprotein a1 (82172) range across 5 matching MRF lines |
$27–$189.90 | $30–$211 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $956.70 | $1,063 | 25.4× |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81173) | $370.80 | $412 | 1.2× |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81204) range across 2 matching MRF lines |
$168.30–$434.70 | $187–$483 | varies |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81174) | $226.80 | $252 | 1.2× |
| Arsenic (82175) range across 4 matching MRF lines |
$23.40–$484.20 | $26–$538 | varies |
| Ashkenazi Jewish Assoc Dis (81412) | $3,009.60 | $3,344 | 1.2× |
| Aspa gene analysis common variants (81200) | $58.50 | $65 | 1.2× |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$14.40–$69.30 | $16–$77 | varies |
| Assay activated protein c (85307) range across 4 matching MRF lines |
$18–$211.50 | $20–$235 | varies |
| Assay Blood Carbon Dioxide (82374) range across 11 matching MRF lines |
$6.30–$33.30 | $7–$37 | varies |
| Assay Blood Catecholamines (82383) | $36 | $40 | 1.2× |
| Assay Dir Meas Fr Estradiol (82681) | $35.10 | $39 | 1.3× |
| Assay Duodenal Fluid Trypsin (84485) | $8.10 | $9 | 1.1× |
| Assay myeloperoxidase (83876) range across 2 matching MRF lines |
$58.50–$63 | $65–$70 | varies |
| Assay Nephelometry Not Spec (83883) range across 8 matching MRF lines |
$15.30–$186.30 | $17–$207 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$15.30–$68.40 | $17–$76 | varies |
| Assay of anti-mullerian hormone (82166) | $247.50 | $275 | 6.4× |
| Assay of b-hexosaminidase each assay (83080) | $21.60 | $24 | 1.3× |
| Assay of blood/uric acid (84550) range across 3 matching MRF lines |
$5.40–$79.20 | $6–$88 | varies |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$7.20–$98.10 | $8–$109 | varies |
| Assay of corticosterone (82528) range across 2 matching MRF lines |
$27.90–$209.70 | $31–$233 | varies |
| Assay of cpk in blood (82552) range across 3 matching MRF lines |
$15.30–$64.80 | $17–$72 | varies |
| Assay of estrone (82679) range across 3 matching MRF lines |
$30.60–$65.70 | $34–$73 | varies |
| Assay of feces for trypsin (84490) | $11.70 | $13 | 1.2× |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
$11.70–$89.10 | $13–$99 | varies |
| Assay of gammaglobulin igm (82784) range across 14 matching MRF lines |
$11.70–$139.50 | $13–$155 | varies |
| Assay of lactic acid (83605) range across 7 matching MRF lines |
$13.50–$150.30 | $15–$167 | varies |
| Assay of manganese (83785) range across 4 matching MRF lines |
$32.40–$406.80 | $36–$452 | varies |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$21.60–$153.90 | $24–$171 | varies |
| Assay of phosphatase acid total (84060) range across 2 matching MRF lines |
$9–$43.20 | $10–$48 | varies |
| Assay of phosphatase alkaline heat stable (84078) | $9 | $10 | 1.1× |
| Assay of procainamide (80190) range across 2 matching MRF lines |
$73.80–$103.50 | $82–$115 | varies |
| Assay of proinsulin (84206) range across 2 matching MRF lines |
$32.40–$131.40 | $36–$146 | varies |
| Assay of prostate specific antigen complexed (84152) | $23.40 | $26 | 1.3× |
| Assay of pyruvate (84210) range across 2 matching MRF lines |
$16.20–$65.70 | $18–$73 | varies |
| Assay of semen fructose (82757) range across 2 matching MRF lines |
$22.50–$93.60 | $25–$104 | varies |
| Assay of serotonin (84260) range across 2 matching MRF lines |
$37.80–$207.90 | $42–$231 | varies |
| Assay of serum potassium (84132) range across 14 matching MRF lines |
$5.40–$72 | $6–$80 | varies |
| Assay of Sialic Acid (84275) | $15.30 | $17 | 1.1× |
| Assay of sweat sodium (84302) range across 5 matching MRF lines |
$5.40–$132.30 | $6–$147 | varies |
| Assay of transcortin (84449) | $22.50 | $25 | 1.3× |
| Assay of Tyrosine (84510) range across 2 matching MRF lines |
$12.60–$38.70 | $14–$43 | varies |
| Assay of urea nitrogen (84520) range across 15 matching MRF lines |
$4.36–$73.80 | $4.84–$82 | varies |
| Assay of urine vma (84585) range across 3 matching MRF lines |
$20.70–$94.50 | $23–$105 | varies |
| Assay of vasoactive intestinal peptide (84586) range across 3 matching MRF lines |
$43.20–$200.70 | $48–$223 | varies |
| Assay of vitamin b-1 (84425) range across 3 matching MRF lines |
$27–$161.10 | $30–$179 | varies |
| Assay Ph Body Fluid Nos (83986) range across 5 matching MRF lines |
$4.36–$79.20 | $4.84–$88 | varies |
| Assay Phosphohexose Enzymes (84087) range across 2 matching MRF lines |
$12.60–$54 | $14–$60 | varies |
| Assay spec xcp ur&breath ia (82077) range across 2 matching MRF lines |
$22.50–$186.30 | $25–$207 | varies |
| Asstd Fertilization Microtq > 10 Oocytes (89281) | $187.20 | $208 | 1.2× |
| Asstd oocyte fert 10 or less (89280) | $821.70 | $913 | 1.1× |
| ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative… (81176) | $297 | $330 | 1.2× |
| Asxl1 gene analysis full gene sequence (81175) | $831.60 | $924 | 1.2× |
| Asy carbamazepin 10,11-epxid (80161) | $23.40 | $26 | 1.3× |
| Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) | $168.30 | $187 | 1.2× |
| Atomic Absorption (82190) | $20.70 | $23 | 1.3× |
| Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) | $168.30 | $187 | 1.2× |
| ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles… (81183) | $168.30 | $187 | 1.2× |
| Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) | $168.30 | $187 | 1.2× |
| Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) | $168.30 | $187 | 1.2× |
| Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) | $168.30 | $187 | 1.2× |
| ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect… (81182) | $168.30 | $187 | 1.2× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $1,032.30 | $1,147 | 1.2× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $187.20 | $208 | 1.2× |
| Autol bld/component collj storage salvage (86891) | $821.70 | $913 | 1.1× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$3.27–$24.30 | $3.63–$27 | varies |
| B cells total count (86355) range across 3 matching MRF lines |
$45.90–$333.90 | $51–$371 | varies |
| Bacterial antigens 87802 (87802) range across 2 matching MRF lines |
$14.40–$87.30 | $16–$97 | varies |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$12.60–$80.10 | $14–$89 | varies |
| Bckdhb Gene Analysis Common Variants (81205) | $116.10 | $129 | 1.2× |
| Bcr/abl1 gene major bp (81206) range across 5 matching MRF lines |
$200.70–$905.40 | $223–$1,006 | varies |
| Bcr/abl1 gene minor bp (81207) range across 5 matching MRF lines |
$179.10–$1,588.50 | $199–$1,765 | varies |
| Bcr/Abl1 Gene Other Bp (81208) range across 4 matching MRF lines |
$263.70–$451.80 | $293–$502 | varies |
| Beta 2 glycoprotein i antibody each (86146) range across 5 matching MRF lines |
$31.50–$91.80 | $35–$102 | varies |
| Beta hydroxybutyrate (82010) range across 3 matching MRF lines |
$9–$61.20 | $10–$68 | varies |
| Beta Lactamase (87185) range across 3 matching MRF lines |
$5.40–$84.60 | $6–$94 | varies |
| Beta-2 Microglobulin (82232) range across 4 matching MRF lines |
$20.70–$59.40 | $23–$66 | varies |
| Bile acids total (82239) range across 2 matching MRF lines |
$21.60–$131.40 | $24–$146 | varies |
| Bile acids, cholylglycine (82240) | $32.40 | $36 | 1.2× |
| Bilirubin direct (82248) range across 7 matching MRF lines |
$5.40–$44.10 | $6–$49 | varies |
| Bilirubin total (82247) range across 13 matching MRF lines |
$5.40–$94.50 | $6–$105 | varies |
| Bilirubin total transcutaneous (88720) | $6.30 | $7 | 1.3× |
| Bilirubin; feces, qualitative Facility (82252) | $5.40 | $6 | 1.2× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5… (89291) | $187.20 | $208 | 1.2× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or… (89290) | $187.20 | $208 | 1.2× |
| Biotinidase (82261) range across 2 matching MRF lines |
$21.60–$47.70 | $24–$53 | varies |
| Bl Smear W/O Diff Wbc Count (85008) range across 3 matching MRF lines |
$4.36–$12.60 | $4.84–$14 | varies |
| Blastomyces antibody (86612) range across 4 matching MRF lines |
$15.30–$152.10 | $17–$169 | varies |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) | $63 | $70 | 1.3× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) range across 2 matching MRF lines |
$31.50–$105.30 | $35–$117 | varies |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) range across 3 matching MRF lines |
$187.20–$1,474.20 | $208–$1,638 | varies |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$9–$132.30 | $10–$147 | varies |
| Bleeding time test (85002) | $5.40 | $6 | 1.1× |
| Blm Gene (81209) | $47.70 | $53 | 1.2× |
| Blood Count Automated Differential Wbc Count (85004) | $7.20 | $8 | 1.1× |
| Blood Count Manual Cell Count Each (85032) range across 2 matching MRF lines |
$5.40–$72 | $6–$80 | varies |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) range across 2 matching MRF lines |
$6.30–$182.70 | $7–$203 | varies |
| Blood Count Red Blood Cell Automated (85041) | $3.27 | $3.63 | 1.1× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$5.40–$33.30 | $6–$37 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 3 matching MRF lines |
$4.36–$32.40 | $4.84–$36 | varies |
| Blood count spun microhematocrit (85013) | $8.10 | $9 | 1.2× |
| Blood gas (82803) range across 4 matching MRF lines |
$31.50–$221.40 | $35–$246 | varies |
| Blood gases w/02 saturation (82805) range across 4 matching MRF lines |
$97.20–$233.10 | $108–$259 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 3 matching MRF lines |
$20.70–$83.70 | $23–$93 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 3 matching MRF lines |
$5.40–$53.10 | $6–$59 | varies |
| Blood Sulfhemoglobin Assay (83060) range across 2 matching MRF lines |
$10.80–$27 | $12–$30 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$7.20–$327.60 | $8–$364 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) range across 2 matching MRF lines |
$20.70–$81 | $23–$90 | varies |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$3.27–$88.20 | $3.63–$98 | varies |
| Body fluid cell count (89050) range across 3 matching MRF lines |
$5.40–$154.80 | $6–$172 | varies |
| Bone marrow smear interpretation (85097) range across 2 matching MRF lines |
$667.80–$821.70 | $742–$913 | varies |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$15.30–$133.20 | $17–$148 | varies |
| Borrelia Antibody (86619) | $15.30 | $17 | 1.1× |
| Braf gene analysis (81210) range across 3 matching MRF lines |
$216–$893.70 | $240–$993 | varies |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) | $540.90 | $601 | 1.2× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) | $575.10 | $639 | 1.2× |
| Brca1 brca2 gene analysis full dup/del analysis (81164) | $717.30 | $797 | 1.2× |
| Brca1 gene analysis full dup/del analysis (81166) | $370.80 | $412 | 1.2× |
| Brca1 gene analysis full sequence analysis (81165) | $347.40 | $386 | 1.2× |
| Brca1 Gene Analysis Known Familial Variant (81215) | $460.80 | $512 | 1.2× |
| Brca1&2 gen full seq dup/del (81162) | $2,241.90 | $2,491 | 1.2× |
| Brca2 gene analysis full dup/del analysis (81167) | $347.40 | $386 | 1.2× |
| Brca2 gene analysis full sequence analysis (81216) | $226.80 | $252 | 1.2× |
| Brca2 Gene Analysis Known Familial Variant (81217) | $460.80 | $512 | 1.2× |
| Breath Alcohol Test (82075) range across 3 matching MRF lines |
$27–$63.90 | $30–$71 | varies |
| Brucella antibody (86622) range across 4 matching MRF lines |
$10.80–$54.90 | $12–$61 | varies |
| Btk Gene Analysis Common Variants (81233) | $216 | $240 | 1.2× |
| C diff amplified probe (87493) range across 3 matching MRF lines |
$45–$351 | $50–$390 | varies |
| C-Peptide (84681) range across 3 matching MRF lines |
$27–$117.90 | $30–$131 | varies |
| C-reactive protein (86140) range across 3 matching MRF lines |
$6.30–$246.60 | $7–$274 | varies |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$27–$73.80 | $30–$82 | varies |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) | $168.30 | $187 | 1.2× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185) | $1,038.60 | $1,154 | 1.2× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial… (81186) | $226.80 | $252 | 1.2× |
| Cadmium (82300) range across 3 matching MRF lines |
$29.70–$59.40 | $33–$66 | varies |
| Caffeine (80155) range across 2 matching MRF lines |
$47.70–$75.60 | $53–$84 | varies |
| Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049) | $187.20 | $208 | 1.2× |
| Calcitonin (82308) range across 2 matching MRF lines |
$32.40–$118.80 | $36–$132 | varies |
| Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) | $99.90 | $111 | 1.2× |
| Calcium ionized (82330) range across 5 matching MRF lines |
$15.30–$120.60 | $17–$134 | varies |
| Calcium total (82310) range across 11 matching MRF lines |
$6.30–$38.70 | $7–$43 | varies |
| Calcium; after calcium infusion test (82331) | $15.30 | $17 | 1.1× |
| Calculus assay quant (82360) | $15.30 | $17 | 1.2× |
| Calculus Spectroscopy (82365) range across 3 matching MRF lines |
$15.30–$260.10 | $17–$289 | varies |
| Calculus Xray Diffraction (82370) | $14.40 | $16 | 1.2× |
| Calprotectin Fecal (83993) range across 3 matching MRF lines |
$24.30–$479.70 | $27–$533 | varies |
| Calr gene com variants (81219) range across 4 matching MRF lines |
$149.40–$1,845 | $166–$2,050 | varies |
| Cancer Antigen 125 (86304) range across 3 matching MRF lines |
$27–$337.50 | $30–$375 | varies |
| Cancer Antigen 27.29 (86300) range across 3 matching MRF lines |
$27–$165.60 | $30–$184 | varies |
| Candida antibody (86628) range across 5 matching MRF lines |
$14.40–$146.70 | $16–$163 | varies |
| Candida Dna Dir Probe (87480) range across 3 matching MRF lines |
$25.20–$130.50 | $28–$145 | varies |
| Car Ion Chnnlpath Inc 10 Gns (81413) | $718.20 | $798 | 1.2× |
| Car Ion Chnnlpath Inc 2 Gns (81414) | $718.20 | $798 | 1.2× |
| Carbamazepine free (80157) range across 2 matching MRF lines |
$15.30–$36 | $17–$40 | varies |
| Carbamazepine total (80156) range across 3 matching MRF lines |
$16.20–$443.70 | $18–$493 | varies |
| Carbohydrate Deficient Transferrin (82373) range across 2 matching MRF lines |
$22.50–$54.90 | $25–$61 | varies |
| Carbon monoxide, (carboxyhemoglobin); qualitative (82376) | $16.20 | $18 | 1.2× |
| Carboxyhemoglobin (82375) range across 4 matching MRF lines |
$14.40–$141.30 | $16–$157 | varies |
| Carcinoembryonic antigen (82378) range across 5 matching MRF lines |
$23.40–$457.20 | $26–$508 | varies |
| Cardiolipin ab iga (86147) range across 5 matching MRF lines |
$31.50–$126 | $35–$140 | varies |
| Cardiology Hrt Trnspl Mrna (81595) | $3,980.70 | $4,423 | 1.2× |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$21.60–$99 | $24–$110 | varies |
| Carotene (82380) range across 2 matching MRF lines |
$10.80–$65.70 | $12–$73 | varies |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$31.50–$147.60 | $35–$164 | varies |
| Catecholamines total urine (82382) range across 2 matching MRF lines |
$34.20–$114.30 | $38–$127 | varies |
| Cathepsin-d (82387) | $22.50 | $25 | 1.2× |
| Ccnd1/Igh Translocation Alys (81168) | $254.70 | $283 | 1.2× |
| Ccp antibody (86200) range across 3 matching MRF lines |
$15.30–$149.40 | $17–$166 | varies |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $297 | $330 | 1.2× |
| Cell count csf (89051) range across 2 matching MRF lines |
$6.30–$168.30 | $7–$187 | varies |
| Cell enumeration & id (86152) | $306.90 | $341 | 1.2× |
| Cell marker study (88182) range across 3 matching MRF lines |
$63–$640.80 | $70–$712 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 2 matching MRF lines |
$167.40–$261 | $186–$290 | varies |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$12.60–$63 | $14–$70 | varies |
| Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) | $208.80 | $232 | 1.2× |
| Cftr Gene Analysis Known Familial Variants (81221) | $118.80 | $132 | 1.2× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$405–$684 | $450–$760 | varies |
| Cftr gene dup/delet variants (81222) range across 2 matching MRF lines |
$316.80–$534.60 | $352–$594 | varies |
| Cftr gene full sequence (81223) range across 2 matching MRF lines |
$613.80–$3,916.80 | $682–$4,352 | varies |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$16.20–$391.50 | $18–$435 | varies |
| Chemotaxis Assay (86155) | $20.70 | $23 | 1.3× |
| Chg cryopreservation mature oocyte(s) (89337) | $187.20 | $208 | 1.2× |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $320.40 | $356 | 1.2× |
| Chimerism w/comp to baseline w/o cell selection (81267) | $254.70 | $283 | 1.2× |
| Chlamydia antibody (86631) range across 4 matching MRF lines |
$13.50–$45.90 | $15–$51 | varies |
| Chlamydia Igm Antibody (86632) range across 5 matching MRF lines |
$14.40–$49.50 | $16–$55 | varies |
| Chlamydia trachomatis ag if (87270) | $14.40 | $16 | 1.2× |
| Chloramphenicol level (82415) range across 2 matching MRF lines |
$14.40–$78.30 | $16–$87 | varies |
| Chloride other source (82438) range across 6 matching MRF lines |
$6.30–$207 | $7–$230 | varies |
| Chloride Serum (82435) range across 11 matching MRF lines |
$5.40–$32.40 | $6–$36 | varies |
| Chloride urine (82436) range across 3 matching MRF lines |
$6.30–$68.40 | $7–$76 | varies |
| Chlorinated Hydrocarbons Screen (82441) range across 2 matching MRF lines |
$7.20–$151.20 | $8–$168 | varies |
| Cholesterol total (82465) range across 8 matching MRF lines |
$5.40–$50.40 | $6–$56 | varies |
| Cholinesterase rbc (82482) range across 2 matching MRF lines |
$11.70–$68.40 | $13–$76 | varies |
| Cholinesterase Serum (82480) range across 2 matching MRF lines |
$9–$58.50 | $10–$65 | varies |
| Chondroitin B sulfate, quantitative Facility (82485) | $25.20 | $28 | 1.2× |
| Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) | $68.40 | $76 | 1.2× |
| Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) | $63.90 | $71 | 1.2× |
| Chorionic gonadotropin test (84702) range across 5 matching MRF lines |
$18–$295.20 | $20–$328 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $231.30 | $257 | 1.2× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) range across 2 matching MRF lines |
$32.40–$168.30 | $36–$187 | varies |
| Chrmsm Analysis Addl High Resolution Study (88289) | $42.30 | $47 | 1.2× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$41.40–$102.60 | $46–$114 | varies |
| Chrmsm Analysis Addl Specialized Banding (88283) range across 2 matching MRF lines |
$45–$84.60 | $50–$94 | varies |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $213.30 | $237 | 1.2× |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) | $213.30 | $237 | 1.2× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $213.30 | $237 | 1.2× |
| Chromium serum (82495) range across 3 matching MRF lines |
$25.20–$66.60 | $28–$74 | varies |
| Chromogenic Substrate Assay (85130) range across 2 matching MRF lines |
$13.50–$184.50 | $15–$205 | varies |
| Chromogranin a (86316) range across 3 matching MRF lines |
$27–$195.30 | $30–$217 | varies |
| Chromosome analys amniotic (88269) range across 2 matching MRF lines |
$213.30–$367.20 | $237–$408 | varies |
| Chromosome Analysis 15-20 (88262) range across 4 matching MRF lines |
$153.90–$554.40 | $171–$616 | varies |
| Chromosome Analysis 20-25 (88264) range across 3 matching MRF lines |
$177.30–$441.90 | $197–$491 | varies |
| Chromosome analysis 45 cells (88263) | $185.40 | $206 | 1.2× |
| Chromosome analysis, 5 (88261) range across 2 matching MRF lines |
$325.80–$554.40 | $362–$616 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
$43.20–$167.40 | $48–$186 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$34.20–$167.40 | $38–$186 | varies |
| Ckmb (82553) range across 3 matching MRF lines |
$13.50–$234.90 | $15–$261 | varies |
| Clostridium Difficile (87324) range across 3 matching MRF lines |
$14.40–$225 | $16–$250 | varies |
| Clot Factor VIII Multimetric (85247) range across 2 matching MRF lines |
$28.80–$303.30 | $32–$337 | varies |
| Clot factor xiii fibrin stab (85290) range across 2 matching MRF lines |
$20.70–$290.70 | $23–$323 | varies |
| Clot lysis time, whole blood dilution Facility (85175) | $25.20 | $28 | 1.2× |
| Clot retraction (85170) | $20.70 | $23 | 1.3× |
| Clotting factor viii related antigen (85244) | $25.20 | $28 | 1.2× |
| Clotting factor xii hageman (85280) range across 2 matching MRF lines |
$24.30–$84.60 | $27–$94 | varies |
| Clotting Funct Activity (85397) range across 5 matching MRF lines |
$37.80–$332.10 | $42–$369 | varies |
| Clotting hi molec weight kininogen assay (85293) | $23.40 | $26 | 1.2× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $23.40 | $26 | 1.2× |
| Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) | $168.30 | $187 | 1.2× |
| Cns DNA amp probe type 12-25 (87483) range across 2 matching MRF lines |
$513–$1,414.80 | $570–$1,572 | varies |
| Coagulation time activated (85347) range across 8 matching MRF lines |
$5.40–$99 | $6–$110 | varies |
| Coagulation time other methods (85348) | $5.40 | $6 | 1.2× |
| Coagulation time; Lee and White Facility (85345) | $5.40 | $6 | 1.2× |
| Coccidioides antibody (86635) range across 3 matching MRF lines |
$13.50–$112.50 | $15–$125 | varies |
| Cold agglutinin screen (86156) range across 3 matching MRF lines |
$9–$86.40 | $10–$96 | varies |
| Cold agglutinin titer (86157) range across 2 matching MRF lines |
$9–$111.60 | $10–$124 | varies |
| Collagen crosslinks (82523) range across 4 matching MRF lines |
$23.40–$143.10 | $26–$159 | varies |
| Column Chromotography Quant (82542) range across 12 matching MRF lines |
$29.70–$787.50 | $33–$875 | varies |
| Combined rapid anterior pituitary evaluation panel this panel must include the following: adrenocorticotropic hormone… (80418) | $711.90 | $791 | 1.2× |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $286.20 | $318 | 1.2× |
| Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) | $374.40 | $416 | 1.2× |
| Compatibility Each Unit Incubation (86921) range across 2 matching MRF lines |
$173.70–$187.20 | $193–$208 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$173.70–$187.20 | $193–$208 | varies |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$14.40–$125.10 | $16–$139 | varies |
| Complement Fixation Tests Each Antigen (86171) range across 2 matching MRF lines |
$11.70–$27 | $13–$30 | varies |
| Complement Total (Ch50) (86162) range across 3 matching MRF lines |
$25.20–$171 | $28–$190 | varies |
| Complement/Function Activity (86161) range across 4 matching MRF lines |
$14.40–$114.30 | $16–$127 | varies |
| Consltj Compre Review Reprt Referred Matrl (88325) range across 2 matching MRF lines |
$187.20–$1,267.20 | $208–$1,408 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$63–$1,267.20 | $70–$1,408 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) range across 2 matching MRF lines |
$42.30–$1,267.20 | $47–$1,408 | varies |
| Coombs direct (86880) range across 2 matching MRF lines |
$6.30–$68.40 | $7–$76 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$14.40–$64.80 | $16–$72 | varies |
| Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral… (81493) | $1,290.60 | $1,434 | 1.2× |
| Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) | $985.50 | $1,095 | 1.2× |
| Cortisol free (82530) range across 4 matching MRF lines |
$21.60–$181.80 | $24–$202 | varies |
| Cortisol saliva (82533) range across 9 matching MRF lines |
$20.70–$179.10 | $23–$199 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$5.40–$54 | $6–$60 | varies |
| Creatine kinase (CK), (CPK); isoforms Facility (82554) | $13.50 | $15 | 1.1× |
| Creatine kinase total (82550) range across 9 matching MRF lines |
$7.20–$185.40 | $8–$206 | varies |
| Creatinine blood (82565) range across 14 matching MRF lines |
$6.30–$44.10 | $7–$49 | varies |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$11.70–$153 | $13–$170 | varies |
| Creatinine Urine (82570) range across 14 matching MRF lines |
$6.30–$79.20 | $7–$88 | varies |
| Crossmatch electronic (86923) | $187.20 | $208 | 1.2× |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$173.70–$187.20 | $193–$208 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$15.30–$81.90 | $17–$91 | varies |
| Cryofibrinogen (82585) range across 2 matching MRF lines |
$16.20–$35.10 | $18–$39 | varies |
| Cryoglobulin (82595) range across 3 matching MRF lines |
$7.20–$171.90 | $8–$191 | varies |
| Cryopreservation, reproductive tissue, testicular (89335) | $63 | $70 | 1.3× |
| Cryopreservation; embryo(s) (89258) | $821.70 | $913 | 1.1× |
| Cryopreservation; sperm (89259) | $187.20 | $208 | 1.2× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $15.30 | $17 | 1.2× |
| Cryptococcal Antigen (87327) range across 2 matching MRF lines |
$15.30–$70.20 | $17–$78 | varies |
| Cryptococcus ab (86641) range across 3 matching MRF lines |
$16.20–$125.10 | $18–$139 | varies |
| Cryptococcus ag titer (87899) range across 8 matching MRF lines |
$20.70–$216 | $23–$240 | varies |
| Cryptosporidium (87272) | $14.40 | $16 | 1.2× |
| Cryptosporidium ag eia (87328) range across 3 matching MRF lines |
$16.20–$124.20 | $18–$138 | varies |
| CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles… (81188) | $168.30 | $187 | 1.2× |
| CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence Facility (81189) | $338.40 | $376 | 1.2× |
| CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) Facility (81190) | $226.80 | $252 | 1.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 11 matching MRF lines |
$9–$129.60 | $10–$144 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 4 matching MRF lines |
$9–$207 | $10–$230 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 3 matching MRF lines |
$9–$57.60 | $10–$64 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $2,172.60 | $2,414 | 10.0× |
| Culture aerobic quant other (87071) | $11.70 | $13 | 1.2× |
| Culture afb (87116) range across 3 matching MRF lines |
$12.60–$101.70 | $14–$113 | varies |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$11.70–$233.10 | $13–$259 | varies |
| Culture bacteria anaerobic (87073) | $11.70 | $13 | 1.2× |
| Culture blood (87040) range across 2 matching MRF lines |
$12.60–$207 | $14–$230 | varies |
| Culture chlamydia (87110) range across 3 matching MRF lines |
$24.30–$171.90 | $27–$191 | varies |
| Culture csf (87070) range across 5 matching MRF lines |
$10.80–$216 | $12–$240 | varies |
| Culture fungus (87102) range across 3 matching MRF lines |
$10.80–$174.60 | $12–$194 | varies |
| Culture fungus blood (87103) range across 2 matching MRF lines |
$25.20–$190.80 | $28–$212 | varies |
| Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos (89251) | $187.20 | $208 | 1.2× |
| Culture oocyte/embryos<4day (89250) | $187.20 | $208 | 1.2× |
| Culture screen only (87081) range across 4 matching MRF lines |
$7.20–$120.60 | $8–$134 | varies |
| Culture stool (87045) range across 6 matching MRF lines |
$11.70–$263.70 | $13–$293 | varies |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $14.40 | $16 | 1.2× |
| Culture typing if ea antiserum (87140) range across 4 matching MRF lines |
$6.30–$171.90 | $7–$191 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 3 matching MRF lines |
$6.30–$149.40 | $7–$166 | varies |
| Culture typing other methods (87158) range across 2 matching MRF lines |
$9–$27.90 | $10–$31 | varies |
| Culture urine (87086) range across 3 matching MRF lines |
$9–$84.60 | $10–$94 | varies |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) | $34.20 | $38 | 1.3× |
| Culture, typing; identification by pulse field gel typing Facility (87152) range across 2 matching MRF lines |
$9–$49.50 | $10–$55 | varies |
| Cyanide (82600) range across 2 matching MRF lines |
$24.30–$199.80 | $27–$222 | varies |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) range across 2 matching MRF lines |
$16.20–$124.20 | $18–$138 | varies |
| Cyclic amp (82030) range across 2 matching MRF lines |
$31.50–$73.80 | $35–$82 | varies |
| Cyclosporine (80158) range across 2 matching MRF lines |
$22.50–$45 | $25–$50 | varies |
| Cyp2c19 gene analysis common variants (81225) range across 2 matching MRF lines |
$357.30–$1,350 | $397–$1,500 | varies |
| Cyp2c9 gene com variants (81227) | $216 | $240 | 1.2× |
| Cyp2d6 gene com variants (81226) | $554.40 | $616 | 1.2× |
| Cyp3a4 gene common variants (81230) | $216 | $240 | 1.2× |
| Cyp3a5 gene common variants (81231) | $216 | $240 | 1.2× |
| Cystatin C (82610) range across 3 matching MRF lines |
$23.40–$102.60 | $26–$114 | varies |
| Cytogenetics 10-30 (88273) range across 2 matching MRF lines |
$42.30–$52.20 | $47–$58 | varies |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$63.90–$709.20 | $71–$788 | varies |
| Cytogenom Const Microarray Copy Number Variants (81228) | $1,106.10 | $1,229 | 1.2× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 3 matching MRF lines |
$1,426.50–$5,043.60 | $1,585–$5,604 | varies |
| Cytogenomic neo microra alys (81277) range across 2 matching MRF lines |
$1,426.50–$7,316.10 | $1,585–$8,129 | varies |
| Cytomegalovirus igg (86644) range across 4 matching MRF lines |
$16.20–$58.50 | $18–$65 | varies |
| Cytopath C/V Index Add-On (88155) | $18 | $20 | 1.2× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$25.20–$101.70 | $28–$113 | varies |
| Cytopath Cell Enhance Tech (88112) range across 3 matching MRF lines |
$63–$915.30 | $70–$1,017 | varies |
| Cytopath Fl Nongyn Filter (88106) | $31.50 | $35 | 1.1× |
| Cytopath unlstd proc (88199) range across 2 matching MRF lines |
$63–$109.80 | $70–$122 | varies |
| Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) | $63 | $70 | 1.2× |
| Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) | $20.70 | $23 | 1.1× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) | $31.50 | $35 | 1.2× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88166) | $18 | $20 | 1.0× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88167) | $18 | $20 | 1.0× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) | $51.30 | $57 | 1.2× |
| Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician… (88152) | $34.20 | $38 | 1.2× |
| Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Facility (88153) | $29.70 | $33 | 1.2× |
| Cytotoxic Antibody Screen Std (86807) | $97.20 | $108 | 1.2× |
| Cytotoxic pra quick (86808) | $36.90 | $41 | 1.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $32.40 | $36 | 1.2× |
| Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) | $28.80 | $32 | 1.3× |
| Cytp Concentration Smears & Interpretation (88108) range across 3 matching MRF lines |
$42.30–$270 | $47–$300 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$63–$351.90 | $70–$391 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) range across 2 matching MRF lines |
$187.20–$273.60 | $208–$304 | varies |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 2 matching MRF lines |
$42.30–$155.70 | $47–$173 | varies |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) range across 2 matching MRF lines |
$187.20–$522 | $208–$580 | varies |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $18 | $20 | 1.0× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $18 | $20 | 1.0× |
| Cytp smrs any oth src extnd std > 5 slides (88162) range across 2 matching MRF lines |
$63–$584.10 | $70–$649 | varies |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) range across 2 matching MRF lines |
$31.50–$261 | $35–$290 | varies |
| Cytp Urine 3-5 Probes Cmptr (88121) | $365.40 | $406 | 2.2× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) | $12.60 | $14 | 1.2× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) | $13.50 | $15 | 1.2× |
| Deoxycortisol (82634) range across 2 matching MRF lines |
$36–$143.10 | $40–$159 | varies |
| Deoxyribonuclease antibody (86215) range across 2 matching MRF lines |
$15.30–$31.50 | $17–$35 | varies |
| Desoxycorticosterone (82633) range across 2 matching MRF lines |
$37.80–$91.80 | $42–$102 | varies |
| Detect Agent Nos Dna Amp (87798) range across 19 matching MRF lines |
$28.80–$1,012.50 | $32–$1,125 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$51.30–$222.30 | $57–$247 | varies |
| Detect agnt mult DNA ampli (87801) range across 3 matching MRF lines |
$85.50–$540 | $95–$600 | varies |
| Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) | $198 | $220 | 1.2× |
| Dgp Antibody Each Ig Class (86258) | $73.80 | $82 | 6.1× |
| Dhea (82626) range across 3 matching MRF lines |
$31.50–$172.80 | $35–$192 | varies |
| Dhea-S (82627) range across 2 matching MRF lines |
$27.90–$132.30 | $31–$147 | varies |
| Dibucaine number (82638) range across 2 matching MRF lines |
$14.40–$20.70 | $16–$23 | varies |
| Digoxin (80162) range across 2 matching MRF lines |
$15.30–$200.70 | $17–$223 | varies |
| Digoxin free (80163) range across 2 matching MRF lines |
$15.30–$441 | $17–$490 | varies |
| Dihydrotestosterone (82642) range across 2 matching MRF lines |
$36–$120.60 | $40–$134 | varies |
| Diphtheria antitoxoid (86648) range across 2 matching MRF lines |
$18–$142.20 | $20–$158 | varies |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$15.30–$71.10 | $17–$79 | varies |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) range across 2 matching MRF lines |
$42.30–$350.10 | $47–$389 | varies |
| Dmd Duplication/Deletion Analysis (81161) | $342 | $380 | 1.2× |
| DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded… (81239) | $338.40 | $376 | 1.2× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) range across 2 matching MRF lines |
$168.30–$1,744.20 | $187–$1,938 | varies |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$16.20–$145.80 | $18–$162 | varies |
| Dna Antibody Single Stranded (86226) range across 2 matching MRF lines |
$14.40–$196.20 | $16–$218 | varies |
| Dna/Rna Amplified Probe (87150) range across 4 matching MRF lines |
$43.20–$351 | $48–$390 | varies |
| DNA/RNA direct probe (87149) | $25.20 | $28 | 1.3× |
| Dna/Rna Sequencing (87153) range across 2 matching MRF lines |
$142.20–$167.40 | $158–$186 | varies |
| Dpyd gene common variants (81232) range across 2 matching MRF lines |
$216–$2,106 | $240–$2,340 | varies |
| Drug assay acetaminophen (80143) range across 2 matching MRF lines |
$23.40–$182.70 | $26–$203 | varies |
| Drug assay adalimumab (80145) range across 2 matching MRF lines |
$47.70–$639 | $53–$710 | varies |
| Drug Assay Amiodarone (80151) range across 2 matching MRF lines |
$23.40–$109.80 | $26–$122 | varies |
| Drug Assay Everolimus (80169) range across 2 matching MRF lines |
$16.20–$261.90 | $18–$291 | varies |
| Drug assay felbamate (80167) range across 2 matching MRF lines |
$23.40–$105.30 | $26–$117 | varies |
| Drug Assay Infliximab (80230) range across 3 matching MRF lines |
$47.70–$394.20 | $53–$438 | varies |
| Drug Assay Itraconazole (80189) range across 2 matching MRF lines |
$34.20–$108 | $38–$120 | varies |
| Drug Assay Lacosamide (80235) range across 2 matching MRF lines |
$34.20–$249.30 | $38–$277 | varies |
| Drug Assay Leflunomide (80193) | $47.70 | $53 | 1.2× |
| Drug Assay Posaconazole (80187) | $34.20 | $38 | 1.3× |
| Drug Assay Vedolizumab (80280) range across 2 matching MRF lines |
$47.70–$478.80 | $53–$532 | varies |
| Drug assay voriconazole (80285) range across 2 matching MRF lines |
$34.20–$158.40 | $38–$176 | varies |
| Drug Screen Quant Clozapine (80159) range across 2 matching MRF lines |
$25.20–$71.10 | $28–$79 | varies |
| Drug Screen Quant Zonisamide (80203) range across 3 matching MRF lines |
$15.30–$115.20 | $17–$128 | varies |
| Drug Screen Quantitative Gabapentin (80171) range across 2 matching MRF lines |
$27–$109.80 | $30–$122 | varies |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$15.30–$59.40 | $17–$66 | varies |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$15.30–$109.80 | $17–$122 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
$15.30–$102.60 | $17–$114 | varies |
| Drug Screen Quantitative Procainamide Metabolite (80192) range across 2 matching MRF lines |
$21.60–$160.20 | $24–$178 | varies |
| Drug Screen Quantitative Tiagabine (80199) range across 2 matching MRF lines |
$34.20–$117 | $38–$130 | varies |
| Drug Test Prsmv Chem Anlyzr (80307) range across 17 matching MRF lines |
$27–$609.30 | $30–$677 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $14.40 | $16 | 1.1× |
| Drug Test Prsmv Instrmnt (80306) | $21.60 | $24 | 1.3× |
| Egfr Gene Analysis Common Variants (81235) range across 3 matching MRF lines |
$399.60–$2,540.70 | $444–$2,823 | varies |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$12.60–$60.30 | $14–$67 | varies |
| El-1 Fecal Quantitative (82653) | $202.50 | $225 | 8.8× |
| Electrolyte panel (80051) range across 3 matching MRF lines |
$8.10–$116.10 | $9–$129 | varies |
| Electron Microscopy (88348) range across 2 matching MRF lines |
$821.70–$1,195.20 | $913–$1,328 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 4 matching MRF lines |
$68.40–$94.50 | $76–$105 | varies |
| Embryo hatching microtechnique (89253) | $187.20 | $208 | 1.2× |
| Encephaltis East Eqne Anbdy (86652) range across 2 matching MRF lines |
$15.30–$131.40 | $17–$146 | varies |
| Encephaltis West Eqne Antbdy (86654) range across 2 matching MRF lines |
$15.30–$131.40 | $17–$146 | varies |
| Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin,… (81506) | $84.60 | $94 | 1.2× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $135 | $150 | 11.2× |
| Enterovirus Antibody (86658) range across 4 matching MRF lines |
$15.30–$194.40 | $17–$216 | varies |
| Enterovirus PCR (87498) range across 3 matching MRF lines |
$43.20–$155.70 | $48–$173 | varies |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$27.90–$772.20 | $31–$858 | varies |
| Enzyme histochemistry (88319) range across 4 matching MRF lines |
$678.60–$890.10 | $754–$989 | varies |
| Eosinophil Smear (89190) range across 2 matching MRF lines |
$7.20–$81 | $8–$90 | varies |
| Epilepsy Genomic Sequence Analysis Panel (81419) | $3,009.60 | $3,344 | 1.2× |
| Erythropoietin (82668) range across 2 matching MRF lines |
$23.40–$84.60 | $26–$94 | varies |
| Estradiol serum (82670) range across 3 matching MRF lines |
$35.10–$336.60 | $39–$374 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$29.70–$38.70 | $33–$43 | varies |
| Estrogen total (82672) range across 3 matching MRF lines |
$27.90–$171.90 | $31–$191 | varies |
| Estrogens fractionated (82671) range across 3 matching MRF lines |
$38.70–$109.80 | $43–$122 | varies |
| Ethosuximide (80168) range across 2 matching MRF lines |
$20.70–$84.60 | $23–$94 | varies |
| Ethylene Glycol (82693) range across 2 matching MRF lines |
$18–$78.30 | $20–$87 | varies |
| Euglobulin lysis (85360) range across 2 matching MRF lines |
$10.80–$68.40 | $12–$76 | varies |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$8.10–$252.90 | $9–$281 | varies |
| Exome Re-Evaluation (81417) | $393.30 | $437 | 1.2× |
| Exome Sequence Analysis (81415) | $5,872.50 | $6,525 | 1.2× |
| Exome sequence analysis each comparator exome (81416) | $14,745.60 | $16,384 | 1.2× |
| Extnd Cul Oocyte/Embryo 4-7 Days (89272) | $821.70 | $913 | 1.1× |
| Ezh2 Gene Analysis Common Variants (81237) | $216 | $240 | 1.2× |
| Ezh2 gene analysis full gene sequence (81236) | $347.40 | $386 | 1.2× |
| F2 Gene (81240) range across 3 matching MRF lines |
$80.10–$659.70 | $89–$733 | varies |
| F9 full gene sequence (81238) | $738 | $820 | 1.2× |
| Factor ii activity (85210) range across 3 matching MRF lines |
$15.30–$168.30 | $17–$187 | varies |
| Factor Inhibitor Test (85335) range across 2 matching MRF lines |
$15.30–$87.30 | $17–$97 | varies |
| Factor ix activity (85250) range across 4 matching MRF lines |
$24.30–$205.20 | $27–$228 | varies |
| Factor v activity (85220) range across 4 matching MRF lines |
$22.50–$171 | $25–$190 | varies |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$89.10–$254.70 | $99–$283 | varies |
| Factor vii assay (85230) range across 3 matching MRF lines |
$22.50–$190.80 | $25–$212 | varies |
| Factor viii assay (85240) range across 5 matching MRF lines |
$22.50–$199.80 | $25–$222 | varies |
| Factor X (85260) range across 2 matching MRF lines |
$22.50–$205.20 | $25–$228 | varies |
| Factor xi activity (85270) range across 2 matching MRF lines |
$22.50–$84.60 | $25–$94 | varies |
| Factor xiii screen (85291) range across 3 matching MRF lines |
$10.80–$98.10 | $12–$109 | varies |
| Fancc Gene (81242) | $44.10 | $49 | 1.2× |
| Fat differential, feces, quantitative Facility (82715) | $28.80 | $32 | 1.3× |
| Fat stain feces urine/respir secretions (89125) range across 2 matching MRF lines |
$7.20–$73.80 | $8–$82 | varies |
| Fat/Lipids Feces Quantitative (82710) range across 2 matching MRF lines |
$21.60–$99.90 | $24–$111 | varies |
| Fatty acids free (82725) range across 2 matching MRF lines |
$23.40–$62.10 | $26–$69 | varies |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) range across 3 matching MRF lines |
$9–$100.80 | $10–$112 | varies |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) range across 2 matching MRF lines |
$21.60–$193.50 | $24–$215 | varies |
| Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) | $12.60 | $14 | 1.2× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) range across 3 matching MRF lines |
$7.20–$156.60 | $8–$174 | varies |
| Fecal Fat Qualitative (82705) | $6.30 | $7 | 1.2× |
| Ferritin (82728) range across 6 matching MRF lines |
$15.30–$175.50 | $17–$195 | varies |
| Fetal Aneuploidy Trisom Risk (81507) | $976.50 | $1,085 | 1.2× |
| Fetal Chrmoml Aneuploidy (81420) | $933.30 | $1,037 | 1.2× |
| Fetal Chrmoml Microdeltj (81422) | $933.30 | $1,037 | 1.2× |
| Fetal Congenital Abnor Assay Four Anal (81511) range across 2 matching MRF lines |
$188.10–$339.30 | $209–$377 | varies |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $66.60 | $74 | 1.2× |
| Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) | $85.50 | $95 | 1.2× |
| Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) | $68.40 | $76 | 1.2× |
| Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal… (81509) | $1,827.90 | $2,031 | 1.2× |
| Fetal Fibronectin (82731) range across 2 matching MRF lines |
$79.20–$788.40 | $88–$876 | varies |
| Fetal hemoglobin assay qual (83033) range across 2 matching MRF lines |
$9–$23.40 | $10–$26 | varies |
| Fetal lung maturity assessment; foam stability test Facility (83662) | $23.40 | $26 | 1.2× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $23.40 | $26 | 1.2× |
| Fetal screen rosette (85461) range across 2 matching MRF lines |
$11.70–$92.70 | $13–$103 | varies |
| Fibrin degradation products (85362) | $8.10 | $9 | 1.2× |
| Fibrin Degradation Quant (85379) range across 6 matching MRF lines |
$12.60–$139.50 | $14–$155 | varies |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $11.70 | $13 | 1.2× |
| Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) | $12.60 | $14 | 1.2× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) | $14.40 | $16 | 1.2× |
| Fibrinogen activity (85384) range across 10 matching MRF lines |
$11.70–$116.10 | $13–$129 | varies |
| Fibrinogen antigen (85385) range across 2 matching MRF lines |
$16.20–$61.20 | $18–$68 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 9 matching MRF lines |
$18–$166.50 | $20–$185 | varies |
| Fibrinolytic factors and inhibitors; plasmin Facility (85400) | $9 | $10 | 1.2× |
| Flecainide level (80181) range across 2 matching MRF lines |
$23.40–$106.20 | $26–$118 | varies |
| Flow cytometry first marker (88184) range across 8 matching MRF lines |
$288.90–$471.60 | $321–$524 | varies |
| Flt3 Gene (81245) | $203.40 | $226 | 1.2× |
| Flt3 gene analysis (81246) | $102.60 | $114 | 1.2× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$14.40–$99.90 | $16–$111 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$14.40–$290.70 | $16–$323 | varies |
| Fluoride serum (82735) range across 2 matching MRF lines |
$23.40–$36 | $26–$40 | varies |
| Fmr1 Gene Charac Alleles (81244) | $55.80 | $62 | 1.2× |
| Fmr1 gene detection (81243) range across 2 matching MRF lines |
$70.20–$698.40 | $78–$776 | varies |
| Folic acid rbc (82747) range across 2 matching MRF lines |
$22.50–$154.80 | $25–$172 | varies |
| Folic Acid Serum (82746) range across 3 matching MRF lines |
$18–$171.90 | $20–$191 | varies |
| Follicle Stimulating Hormone (83001) range across 3 matching MRF lines |
$23.40–$110.70 | $26–$123 | varies |
| Forensic Cytopathology (88125) | $63 | $70 | 1.3× |
| Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) range across 2 matching MRF lines |
$35.10–$102.60 | $39–$114 | varies |
| Francisella tularensis (86668) range across 2 matching MRF lines |
$16.20–$412.20 | $18–$458 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) range across 2 matching MRF lines |
$173.70–$187.20 | $193–$208 | varies |
| Frozen Blood Each Unit Freezing (86930) | $365.40 | $406 | 2.2× |
| Frozen Blood Each Unit Thawing (86931) | $365.40 | $406 | 2.2× |
| Frozen blood freeze/thaw (86932) | $42.30 | $47 | 1.2× |
| Frozen Section (88331) range across 2 matching MRF lines |
$187.20–$312.30 | $208–$347 | varies |
| Fungi Identification Mold (87107) range across 3 matching MRF lines |
$12.60–$124.20 | $14–$138 | varies |
| Fungi Identification Yeast (87106) range across 4 matching MRF lines |
$12.60–$136.80 | $14–$152 | varies |
| FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) Facility (81289) | $226.80 | $252 | 1.2× |
| Fxn Gene Analysis Characterization Alleles (81285) | $338.40 | $376 | 1.2× |
| Fxn Gene Analysis Eval Detect Abnormal Alleles (81284) | $168.30 | $187 | 1.2× |
| Fxn Gene Analysis Full Gene Sequence (81286) | $338.40 | $376 | 1.2× |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) | $72 | $80 | 1.2× |
| G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s)… (81248) | $460.80 | $512 | 1.2× |
| G6pd gene alys cmn variant (81247) | $216 | $240 | 1.2× |
| G6pd gene analysis full gene sequence (81249) | $738 | $820 | 1.2× |
| Galactokinase rbc (82759) | $27 | $30 | 1.3× |
| Galactose (82760) | $13.50 | $15 | 1.2× |
| Galactose transferase test (82776) | $13.50 | $15 | 1.1× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) range across 2 matching MRF lines |
$27–$76.50 | $30–$85 | varies |
| Galectin-3 (82777) | $54 | $60 | 1.2× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$21.60–$81.90 | $24–$91 | varies |
| Gardner vag DNA dir probe (87510) range across 3 matching MRF lines |
$25.20–$130.50 | $28–$145 | varies |
| Gardner Vag Dna Quant (87512) | $50.40 | $56 | 1.2× |
| Gases Blood O2 Saturation Only Direct Meas (82810) range across 2 matching MRF lines |
$11.70–$182.70 | $13–$203 | varies |
| Gases blood ph only (82800) range across 5 matching MRF lines |
$12.60–$157.50 | $14–$175 | varies |
| Gastric Analy W/Ph Ea Spec (82930) | $8.10 | $9 | 1.2× |
| Gastrin (82941) range across 2 matching MRF lines |
$22.50–$106.20 | $25–$118 | varies |
| Gastrin after secretin stim (82938) | $22.50 | $25 | 1.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 3 matching MRF lines |
$438.30–$948.60 | $487–$1,054 | varies |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | $58.50 | $65 | 1.2× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 3 matching MRF lines |
$933.30–$5,962.50 | $1,037–$6,625 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) range across 2 matching MRF lines |
$3,587.40–$10,297.80 | $3,986–$11,442 | varies |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$41.40–$109.80 | $46–$122 | varies |
| Genetic Tstg Severe Inh Cond (81443) | $3,009.60 | $3,344 | 1.2× |
| Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome… (81427) | $2,872.80 | $3,192 | 1.2× |
| Genome Sequence Analysis (81425) | $6,182.10 | $6,869 | 1.2× |
| Genome sequence analysis each comparator genome (81426) | $3,329.10 | $3,699 | 1.2× |
| Gentamicin (80170) range across 2 matching MRF lines |
$21.60–$387 | $24–$430 | varies |
| Ggt (82977) range across 6 matching MRF lines |
$8.10–$128.70 | $9–$143 | varies |
| Gh suppression panel (80430) | $158.40 | $176 | 1.2× |
| Giardia antigen (87329) range across 3 matching MRF lines |
$14.40–$107.10 | $16–$119 | varies |
| Giardia lamblia antibody (86674) range across 2 matching MRF lines |
$18–$128.70 | $20–$143 | varies |
| GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) | $75.60 | $84 | 1.2× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $123.30 | $137 | 1.2× |
| Gjb6 Gene Analysis Common Variants (81254) | $43.20 | $48 | 1.2× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $7.20 | $8 | 1.2× |
| Glucagon (82943) range across 3 matching MRF lines |
$16.20–$126.90 | $18–$141 | varies |
| Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) | $57.60 | $64 | 1.3× |
| Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) | $63 | $70 | 1.2× |
| Glucagon tolerance test Facility (82946) | $22.50 | $25 | 1.3× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$5.40–$92.70 | $6–$103 | varies |
| Glucose Blood Test (82962) | $4.36 | $4.84 | 1.3× |
| Glucose body fluid (82945) range across 9 matching MRF lines |
$4.36–$97.20 | $4.84–$108 | varies |
| Glucose Serum (82947) range across 15 matching MRF lines |
$4.36–$44.10 | $4.84–$49 | varies |
| Glucose tolerance test (gtt) (82951) range across 6 matching MRF lines |
$15.30–$199.80 | $17–$222 | varies |
| Glucosidase beta (82963) | $27 | $30 | 1.3× |
| Glutamate dehydrogenase Facility (82965) | $15.30 | $17 | 1.2× |
| Glutathione (82978) range across 2 matching MRF lines |
$18–$700.20 | $20–$778 | varies |
| Glutathione reductase, RBC Facility (82979) | $11.70 | $13 | 1.2× |
| Glycated Protein (82985) range across 2 matching MRF lines |
$21.60–$55.80 | $24–$62 | varies |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | $18 | $20 | 1.2× |
| Gonadotropin Chorionic Qualitative (84703) range across 3 matching MRF lines |
$8.10–$92.70 | $9–$103 | varies |
| Gonadotropin releasing hormone (83727) range across 2 matching MRF lines |
$21.60–$382.50 | $24–$425 | varies |
| Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) | $182.70 | $203 | 1.2× |
| Growth hormone (83003) range across 4 matching MRF lines |
$21.60–$89.10 | $24–$99 | varies |
| Growth hormone antibody (86277) | $20.70 | $23 | 1.3× |
| Growth Hormone Stimulation Panel (80428) | $81 | $90 | 1.2× |
| Growth Stimulation Gene 2 (83006) range across 2 matching MRF lines |
$91.80–$454.50 | $102–$505 | varies |
| Gtt-added samples (82952) range across 5 matching MRF lines |
$4.36–$81.90 | $4.84–$91 | varies |
| H Pylori (C-13) Breath (83013) range across 3 matching MRF lines |
$81.90–$300.60 | $91–$334 | varies |
| H Pylori Drug Admin (83014) range across 2 matching MRF lines |
$9–$35.10 | $10–$39 | varies |
| Haloperidol (80173) range across 2 matching MRF lines |
$20.70–$152.10 | $23–$169 | varies |
| Haptoglobin (83010) range across 5 matching MRF lines |
$14.40–$173.70 | $16–$193 | varies |
| Haptoglobin; phenotypes Facility (83012) | $32.40 | $36 | 1.2× |
| HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease),… (81258) | $460.80 | $512 | 1.2× |
| Hba1/hba2 full gene sequence (81259) range across 3 matching MRF lines |
$738–$1,483.20 | $820–$1,648 | varies |
| Hba1/Hba2 Gene (81257) | $125.10 | $139 | 1.2× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) range across 3 matching MRF lines |
$249.30–$961.20 | $277–$1,068 | varies |
| HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s)… (81362) | $460.80 | $512 | 1.2× |
| Hbb duplication/deletion variants (81363) | $249.30 | $277 | 1.2× |
| Hbb Full Gene Sequence (81364) range across 2 matching MRF lines |
$399.60–$851.40 | $444–$946 | varies |
| Hbb Gene Com Variants (81361) | $216 | $240 | 1.2× |
| Hdl Cholesterol (83718) range across 6 matching MRF lines |
$9–$82.80 | $10–$92 | varies |
| Hearing Loss Dup/Del Analysis (81431) | $835.20 | $928 | 1.2× |
| Hearing Loss Genomic Sequence Analysis 60 Genes (81430) | $1,996.20 | $2,218 | 1.2× |
| Heavy metal qualitative any analytes (83015) | $27 | $30 | 1.3× |
| Heinz Bodies Direct (85441) | $5.40 | $6 | 1.3× |
| Heinz Bodies Induced Acetyl Phenylhydrazine (85445) | $8.10 | $9 | 1.2× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$16.20–$296.10 | $18–$329 | varies |
| Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) | $81.90 | $91 | 1.2× |
| Helminth Antibody (86682) range across 5 matching MRF lines |
$15.30–$189 | $17–$210 | varies |
| Hemagglutination Inhibition (86280) | $9 | $10 | 1.1× |
| Hematocrit (85014) range across 7 matching MRF lines |
$3.27–$154.80 | $3.63–$172 | varies |
| Hemoglobin (85018) range across 4 matching MRF lines |
$3.27–$28.80 | $3.63–$32 | varies |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$11.70–$151.20 | $13–$168 | varies |
| Hemoglobin Chromotography (83021) range across 4 matching MRF lines |
$22.50–$183.60 | $25–$204 | varies |
| Hemoglobin Copper Sulfate Method Non-Automated (83026) | $5.40 | $6 | 1.3× |
| Hemoglobin electrophoresis (83020) range across 5 matching MRF lines |
$15.30–$131.40 | $17–$146 | varies |
| Hemoglobin F Fetal Chemical (83030) | $12.60 | $14 | 1.2× |
| Hemoglobin Methemoglobin Quantitative (83050) range across 3 matching MRF lines |
$9–$27 | $10–$30 | varies |
| Hemoglobin plasma (83051) range across 2 matching MRF lines |
$8.10–$98.10 | $9–$109 | varies |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $11.70 | $13 | 1.2× |
| Hemoglobin stability screen (83068) range across 3 matching MRF lines |
$11.70–$41.40 | $13–$46 | varies |
| Hemoglobin Thermolabile (83065) | $10.80 | $12 | 1.2× |
| Hemoglobin urine (83069) | $4.36 | $4.84 | 1.1× |
| Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741) | $11.70 | $13 | 1.2× |
| Hemoglobin-Oxygen Affinity (82820) | $15.30 | $17 | 1.1× |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) | $11.70 | $13 | 1.2× |
| Hemoglobin; methemoglobin, qualitative Facility (83045) | $7.20 | $8 | 1.1× |
| Hemolysin Acid (85475) | $10.80 | $12 | 1.2× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $10.80 | $12 | 1.2× |
| Hemolysins&Agglutinins Incubated (86941) | $14.40 | $16 | 1.2× |
| Hemosiderin urine (83070) range across 2 matching MRF lines |
$5.40–$36 | $6–$40 | varies |
| Hep a ab igm (86709) range across 3 matching MRF lines |
$13.50–$466.20 | $15–$518 | varies |
| Heparin assay (85520) range across 4 matching MRF lines |
$15.30–$182.70 | $17–$203 | varies |
| Heparin Neutralization (85525) | $13.50 | $15 | 1.1× |
| Heparin-Protamine Tolerance Tst (85530) | $15.30 | $17 | 1.2× |
| Hepatitis a antibody total (86708) range across 3 matching MRF lines |
$14.40–$422.10 | $16–$469 | varies |
| Hepatitis b core ab igm (86705) range across 3 matching MRF lines |
$13.50–$452.70 | $15–$503 | varies |
| Hepatitis b core ab total (86704) range across 3 matching MRF lines |
$14.40–$304.20 | $16–$338 | varies |
| Hepatitis B Surface Antibody (86706) range across 4 matching MRF lines |
$12.60–$298.80 | $14–$332 | varies |
| Hepatitis B Surface Antigen (87340) range across 4 matching MRF lines |
$12.60–$168.30 | $14–$187 | varies |
| Hepatitis Be Antibody (86707) range across 3 matching MRF lines |
$13.50–$75.60 | $15–$84 | varies |
| Hepatitis Be Antigen (87350) range across 4 matching MRF lines |
$13.50–$131.40 | $15–$146 | varies |
| Hepatitis C Antibody (86803) range across 4 matching MRF lines |
$16.20–$325.80 | $18–$362 | varies |
| Hepatitis c antibody confirmatory test (86804) range across 2 matching MRF lines |
$20.70–$193.50 | $23–$215 | varies |
| Hepatitis C Genotype (87902) range across 4 matching MRF lines |
$296.10–$412.20 | $329–$458 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 3 matching MRF lines |
$43.20–$360 | $48–$400 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines |
$51.30–$371.70 | $57–$413 | varies |
| Hepatitis delta ag (87380) range across 3 matching MRF lines |
$23.40–$130.50 | $26–$145 | varies |
| Hepatitis Delta Agent Antibody (86692) range across 2 matching MRF lines |
$21.60–$108 | $24–$120 | varies |
| Hepatitis G Dna Quant (87527) | $50.40 | $56 | 1.2× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $834.30 | $927 | 0.6× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) range across 2 matching MRF lines |
$718.20–$7,189.20 | $798–$7,988 | varies |
| Hereditary peripheral neuropathy gen seq pnl (81448) | $718.20 | $798 | 1.2× |
| Hereditary Retinal Disorders (81434) | $734.40 | $816 | 1.2× |
| Heredtry Nurondcrn Tum Dsrdr (81437) | $539.10 | $599 | 0.4× |
| Herpes simplex type 2 (86696) range across 4 matching MRF lines |
$24.30–$44.10 | $27–$49 | varies |
| Heterophile antibodies titer (86309) | $7.20 | $8 | 1.1× |
| Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) | $8.10 | $9 | 1.1× |
| Heterophile Antibody Screen (86308) range across 4 matching MRF lines |
$6.30–$193.50 | $7–$215 | varies |
| Hexa gene analysis common variants (81255) | $63.90 | $71 | 1.2× |
| Hfe Gene (81256) range across 3 matching MRF lines |
$80.10–$429.30 | $89–$477 | varies |
| Hgb Quantitative Transcutaneous (88738) | $6.30 | $7 | 1.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) range across 2 matching MRF lines |
$9–$158.40 | $10–$176 | varies |
| Histamine urine (83088) range across 2 matching MRF lines |
$36–$97.20 | $40–$108 | varies |
| Histoplasma antibody (86698) range across 9 matching MRF lines |
$16.20–$189.90 | $18–$211 | varies |
| Histoplasma antigen urine (87385) range across 3 matching MRF lines |
$15.30–$252 | $17–$280 | varies |
| Hiv Antigen W/Hiv Antibodies (87806) | $40.50 | $45 | 1.2× |
| Hiv Genotype (87901) range across 2 matching MRF lines |
$316.80–$373.50 | $352–$415 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$29.70–$124.20 | $33–$138 | varies |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$10.80–$227.70 | $12–$253 | varies |
| HIV-1 p24 antigen (87390) | $29.70 | $33 | 1.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 3 matching MRF lines |
$104.40–$321.30 | $116–$357 | varies |
| HIV-2 probe&revrse trnscripj (87538) range across 2 matching MRF lines |
$43.20–$586.80 | $48–$652 | varies |
| Hla class i semiquant panel (86834) | $440.10 | $489 | 1.2× |
| Hla Class I Typing High Resolution Complete (81379) | $412.20 | $458 | 1.2× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $217.80 | $242 | 1.2× |
| Hla Class I Typing Low Resolution Complete (81372) range across 2 matching MRF lines |
$495–$581.40 | $550–$646 | varies |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $156.60 | $174 | 1.2× |
| Hla class i&ii antibody qual (86828) | $79.20 | $88 | 1.2× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $493.20 | $548 | 1.2× |
| Hla class i/ii antibody qual (86829) | $79.20 | $88 | 1.2× |
| Hla class ii high defin qual (86833) | $400.50 | $445 | 1.2× |
| Hla class ii typing high resolution one locus ea (81382) | $152.10 | $169 | 1.2× |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $135.90 | $151 | 1.2× |
| Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) | $44.10 | $49 | 1.2× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) range across 2 matching MRF lines |
$90.90–$484.20 | $101–$538 | varies |
| Hla I Typing 1 Allele Hr (81381) | $209.70 | $233 | 1.2× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) range across 2 matching MRF lines |
$423–$6,586.20 | $470–$7,318 | varies |
| Hla i&li low resolution hla-a -b&-drb1 (81371) | $496.80 | $552 | 1.2× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) range across 2 matching MRF lines |
$270–$1,204.20 | $300–$1,338 | varies |
| Hla ii type 1 ag equiv lr (81377) | $116.10 | $129 | 1.2× |
| Hla ii typing 1 allele hr (81383) | $134.10 | $149 | 1.2× |
| Hla ii typing 1 locus lr (81376) range across 2 matching MRF lines |
$150.30–$216 | $167–$240 | varies |
| Hla Typing a/B/C Multiple Antigens (86813) range across 3 matching MRF lines |
$72–$777.60 | $80–$864 | varies |
| Hla Typing Dr/Dq Multiple Antigens (86817) range across 2 matching MRF lines |
$130.50–$1,963.80 | $145–$2,182 | varies |
| Hla Typing Dr/Dq Single Antigen (86816) range across 3 matching MRF lines |
$36.90–$308.70 | $41–$343 | varies |
| Hla-b27 (86812) range across 2 matching MRF lines |
$31.50–$265.50 | $35–$295 | varies |
| Homocysteine (83090) range across 2 matching MRF lines |
$22.50–$87.30 | $25–$97 | varies |
| Homogenization Tissue (87176) range across 4 matching MRF lines |
$7.20–$185.40 | $8–$206 | varies |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
$27.90–$82.80 | $31–$92 | varies |
| Hpa-1 genotyping gene analysis common variant (81105) | $150.30 | $167 | 1.2× |
| Hpa-15 genotyping gene analysis common variant (81112) | $150.30 | $167 | 1.2× |
| Hpa-2 genotyping gene analysis common variant (81106) | $150.30 | $167 | 1.2× |
| Hpa-3 genotyping gene analysis common variant (81107) | $150.30 | $167 | 1.2× |
| Hpa-4 genotyping gene analysis common variant (81108) | $150.30 | $167 | 1.2× |
| Hpa-5 genotyping gene analysis common variant (81109) | $150.30 | $167 | 1.2× |
| Hpa-6 genotyping gene analysis common variant (81110) | $150.30 | $167 | 1.2× |
| Hpa-9 Genotyping (81111) | $150.30 | $167 | 1.2× |
| Hpv low-risk types (87623) | $43.20 | $48 | 1.2× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $143.10 | $159 | 2.0× |
| Hpv Types 16 & 18 Only (87625) range across 3 matching MRF lines |
$49.50–$129.60 | $55–$144 | varies |
| Hsv Dna Amp Probe (87529) range across 9 matching MRF lines |
$43.20–$449.10 | $48–$499 | varies |
| Hsv Dna Quant (87530) | $51.30 | $57 | 1.2× |
| Htlv-I Antibody (86687) range across 2 matching MRF lines |
$10.80–$64.80 | $12–$72 | varies |
| Htlv-ii antibody (86688) | $16.20 | $18 | 1.2× |
| Htt Gene Analysis Characterization Alleles (81274) | $338.40 | $376 | 1.2× |
| Htt Gene Detc Abnor Alleles (81271) range across 2 matching MRF lines |
$168.30–$889.20 | $187–$988 | varies |
| Human Epididymis Protein 4 (86305) range across 2 matching MRF lines |
$27–$333.90 | $30–$371 | varies |
| Hydroxycorticosteroids 17 (83491) range across 2 matching MRF lines |
$22.50–$138.60 | $25–$154 | varies |
| Hydroxyprogesterone 17-d (83498) range across 5 matching MRF lines |
$34.20–$306 | $38–$340 | varies |
| Hydroxyproline free (83500) | $28.80 | $32 | 1.3× |
| Hydroxyproline total (83505) range across 2 matching MRF lines |
$29.70–$58.50 | $33–$65 | varies |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) range across 2 matching MRF lines |
$14.40–$149.40 | $16–$166 | varies |
| Iaad Ia Cytomegalovirus (87332) | $14.40 | $16 | 1.2× |
| Iaad Ia Entamoeba Histolytica Grp (87337) range across 2 matching MRF lines |
$14.40–$297 | $16–$330 | varies |
| Iaad Ia Escherichia Coli 0157 (87335) range across 2 matching MRF lines |
$14.40–$62.10 | $16–$69 | varies |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) range across 2 matching MRF lines |
$12.60–$43.20 | $14–$48 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $16.20 | $18 | 1.2× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$42.30–$216 | $47–$240 | varies |
| Iaad ia shiga-like toxin (87427) range across 4 matching MRF lines |
$14.40–$109.80 | $16–$122 | varies |
| Iaad Ia Streptococcus Group A (87430) | $21.60 | $24 | 1.3× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) range across 2 matching MRF lines |
$14.40–$91.80 | $16–$102 | varies |
| Iaadi giardia (87269) | $15.30 | $17 | 1.1× |
| Iaadi herpes smplx virus type 1 (87274) | $14.40 | $16 | 1.2× |
| Iaadi herpes smplx virus type 2 (87273) | $14.40 | $16 | 1.2× |
| Iaadi inffluenza a virus (87276) range across 2 matching MRF lines |
$20.70–$57.60 | $23–$64 | varies |
| Iaadi not otherwise specified each organism (87299) range across 2 matching MRF lines |
$20.70–$57.60 | $23–$64 | varies |
| Iaadi parainfluenza virus each type (87279) range across 2 matching MRF lines |
$21.60–$36.90 | $24–$41 | varies |
| Iaadi pneumocustis carinii (87281) | $14.40 | $16 | 1.2× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) range across 2 matching MRF lines |
$14.40–$42.30 | $16–$47 | varies |
| Iaadi respiratory synctial virus (87280) range across 2 matching MRF lines |
$15.30–$57.60 | $17–$64 | varies |
| Iaadi Varicella Zoster Virus (87290) | $15.30 | $17 | 1.1× |
| Iaadiadoo trichomonas vaginalis (87808) | $18 | $20 | 1.2× |
| Iadna Bartonella Amplified Probe Technique (87471) range across 2 matching MRF lines |
$43.20–$180 | $48–$200 | varies |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 3 matching MRF lines |
$43.20–$75.60 | $48–$84 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) range across 2 matching MRF lines |
$43.20–$123.30 | $48–$137 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 5 matching MRF lines |
$28.80–$326.70 | $32–$363 | varies |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) range across 3 matching MRF lines |
$28.80–$64.80 | $32–$72 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$43.20–$175.50 | $48–$195 | varies |
| Iadna Cytomegalovirus Direct Probe Tq (87495) range across 2 matching MRF lines |
$36.90–$157.50 | $41–$175 | varies |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$51.30–$327.60 | $57–$364 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $85.50 | $95 | 1.2× |
| Iadna hepatitis b virus amplified probe tq (87516) range across 2 matching MRF lines |
$43.20–$178.20 | $48–$198 | varies |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$51.30–$328.50 | $57–$365 | varies |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) range across 2 matching MRF lines |
$43.20–$306 | $48–$340 | varies |
| Iadna Herpes Virus-6 Quantification (87533) | $50.40 | $56 | 1.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$43.20–$212.40 | $48–$236 | varies |
| Iadna Hiv-2 Quant & Reverse Transcription (87539) | $72 | $80 | 1.2× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) range across 2 matching MRF lines |
$43.20–$270 | $48–$300 | varies |
| Iadna Multiple Organisms Direct Probe Tq (87800) range across 2 matching MRF lines |
$52.20–$76.50 | $58–$85 | varies |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $34.20 | $38 | 1.3× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $60.30 | $67 | 1.3× |
| Iadna Mycobacteria Species Direct Probe Tq (87550) | $25.20 | $28 | 1.3× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$50.40–$178.20 | $56–$198 | varies |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $32.40 | $36 | 1.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 4 matching MRF lines |
$28.80–$186.30 | $32–$207 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 5 matching MRF lines |
$43.20–$162.90 | $48–$181 | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $36.90 | $41 | 1.2× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $135 | $150 | 2.6× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 4 matching MRF lines |
$175.50–$957.60 | $195–$1,064 | varies |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $324 | $360 | 1.2× |
| Idh1 common variants (81120) range across 2 matching MRF lines |
$236.70–$674.10 | $263–$749 | varies |
| Idh2 common variants (81121) range across 2 matching MRF lines |
$363.60–$1,032.30 | $404–$1,147 | varies |
| Ifnl3 gene analysis rs12979860 variant (81283) | $89.10 | $99 | 1.2× |
| Ig Light Chains Free Each (83521) range across 4 matching MRF lines |
$94.50–$124.20 | $105–$138 | varies |
| Igg subclasses (82787) range across 9 matching MRF lines |
$9–$94.50 | $10–$105 | varies |
| Igh gene rearrange amp meth (81261) range across 2 matching MRF lines |
$243.90–$305.10 | $271–$339 | varies |
| IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect… (81262) | $83.70 | $93 | 1.2× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) range across 2 matching MRF lines |
$362.70–$1,417.50 | $403–$1,575 | varies |
| IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster… (81278) | $254.70 | $283 | 1.2× |
| Igk rearrangeabn clonal pop (81264) range across 2 matching MRF lines |
$212.40–$230.40 | $236–$256 | varies |
| Ikbkap Gene Analysis Common Variants (81260) | $47.70 | $53 | 1.2× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 3 matching MRF lines |
$319.50–$609.30 | $355–$677 | varies |
| Immune Complex Assay (86332) range across 2 matching MRF lines |
$30.60–$189 | $34–$210 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$36–$316.80 | $40–$352 | varies |
| Immunoassay analyte qual/semiqual single step (83518) | $11.70 | $13 | 1.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$23.40–$1,521 | $26–$1,690 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) range across 3 matching MRF lines |
$31.50–$325.80 | $35–$362 | varies |
| Immunoassay infectious agent (86318) range across 2 matching MRF lines |
$22.50–$113.40 | $25–$126 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$18–$163.80 | $20–$182 | varies |
| Immunoassay nonantibody (83516) range across 9 matching MRF lines |
$13.50–$257.40 | $15–$286 | varies |
| Immunodiffusion not elsewhere specified (86329) | $16.20 | $18 | 1.2× |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$14.40–$49.50 | $16–$55 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $28.80 | $32 | 1.2× |
| Immunoelectrophoresis Serum (86320) | $36.90 | $41 | 1.2× |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$27.90–$237.60 | $31–$264 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 6 matching MRF lines |
$364.50–$437.40 | $405–$486 | varies |
| Immunohistochemistry (88342) range across 5 matching MRF lines |
$187.20–$403.20 | $208–$448 | varies |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$187.20–$621.90 | $208–$691 | varies |
| In situ hybridization ea multiplex probe stain (88366) | $365.40 | $406 | 2.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) | $27.90 | $31 | 1.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) | $20.70 | $23 | 1.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) | $18 | $20 | 1.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) | $12.60 | $14 | 1.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $20.70 | $23 | 1.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $78.30 | $87 | 1.1× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) | $27.90 | $31 | 1.3× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) | $43.20 | $48 | 1.2× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) | $20.70 | $23 | 1.3× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) | $30.60 | $34 | 1.2× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) range across 2 matching MRF lines |
$16.20–$57.60 | $18–$64 | varies |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | $15.30 | $17 | 1.1× |
| Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA)… (87267) | $15.30 | $17 | 1.1× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $14.40 | $16 | 1.2× |
| Infectious agent antigen detection by immunofluorescent technique; Rubeola Facility (87283) | $74.70 | $83 | 1.2× |
| Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) | $14.40 | $16 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) | $51.30 | $57 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Facility (87475) | $25.20 | $28 | 1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Facility (87482) | $68.40 | $76 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) | $25.20 | $28 | 1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487) | $51.30 | $57 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) | $65.70 | $73 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $43.20 | $48 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) range across 2 matching MRF lines |
$37.80–$156.60 | $42–$174 | varies |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) range across 2 matching MRF lines |
$47.70–$274.50 | $53–$305 | varies |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) | $36.90 | $41 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528) | $25.20 | $28 | 1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) | $72 | $80 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) | $27.90 | $31 | 1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) | $27.90 | $31 | 1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Facility (87542) | $50.40 | $56 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Facility (87562) | $51.30 | $57 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) | $51.30 | $57 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Facility (87557) | $51.30 | $57 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580) | $25.20 | $28 | 1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Facility (87582) | $371.70 | $413 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) | $51.30 | $57 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) | $25.20 | $28 | 1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) | $50.40 | $56 | 1.2× |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $63.90 | $71 | 1.2× |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) range across 4 matching MRF lines |
$43.20–$268.20 | $48–$298 | varies |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) | $14.40 | $16 | 1.2× |
| Influenza a/b ag eia (87400) range across 2 matching MRF lines |
$16.20–$96.30 | $18–$107 | varies |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$21.60–$336.60 | $24–$374 | varies |
| Influenza DNA amp probe (87502) range across 3 matching MRF lines |
$99.90–$448.20 | $111–$498 | varies |
| Inherited Cardmypthy 5 Gns (81439) range across 2 matching MRF lines |
$718.20–$1,510.20 | $798–$1,678 | varies |
| Inhibin A (86336) range across 3 matching MRF lines |
$20.70–$155.70 | $23–$173 | varies |
| Inhibin b (83520) range across 9 matching MRF lines |
$22.50–$374.40 | $25–$416 | varies |
| Insemination of oocytes (89268) | $187.20 | $208 | 1.2× |
| Insitu hybridization auto (88367) | $365.40 | $406 | 1.1× |
| Insitu hybridization manual (88368) range across 2 matching MRF lines |
$365.40–$437.40 | $406–$486 | varies |
| Insulin antibodies (86337) range across 3 matching MRF lines |
$27–$106.20 | $30–$118 | varies |
| Insulin free (83527) range across 3 matching MRF lines |
$15.30–$59.40 | $17–$66 | varies |
| Insulin tolerance panel growth horm defncy (80435) | $125.10 | $139 | 1.2× |
| Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) | $349.20 | $388 | 1.2× |
| Insulin total (83525) range across 4 matching MRF lines |
$13.50–$119.70 | $15–$133 | varies |
| Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) | $203.40 | $226 | 1.2× |
| Intrinsic factor (stomach protein) level (83528) | $24.30 | $27 | 1.2× |
| Intrinsic factor antibody (86340) range across 3 matching MRF lines |
$18–$129.60 | $20–$144 | varies |
| Iron (83540) range across 4 matching MRF lines |
$7.20–$82.80 | $8–$92 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$10.80–$36.90 | $12–$41 | varies |
| Iron stain peripheral blood (85536) | $8.10 | $9 | 1.2× |
| Irradiation Blood Product Each Unit (86945) | $42.30 | $47 | 1.2× |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$29.70–$157.50 | $33–$175 | varies |
| Isocitric dehydrogenase (IDH) Facility (83570) | $10.80 | $12 | 1.2× |
| Jak2 gene analysis p.val617phe variant (81270) range across 5 matching MRF lines |
$113.40–$992.70 | $126–$1,103 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $226.80 | $252 | 1.2× |
| Ketosteroids 17 total (83586) range across 2 matching MRF lines |
$14.40–$124.20 | $16–$138 | varies |
| Kit Gene Analysis D816 Variant(S) (81273) range across 2 matching MRF lines |
$153–$2,009.70 | $170–$2,233 | varies |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $405 | $450 | 1.2× |
| Koh Prep (87220) | $5.40 | $6 | 1.3× |
| Kras Gene Analysis Additional Variant(S) (81276) range across 3 matching MRF lines |
$236.70–$974.70 | $263–$1,083 | varies |
| Kras Gene Variants Exon 2 (81275) range across 3 matching MRF lines |
$236.70–$2,204.10 | $263–$2,449 | varies |
| L/s ratio (83661) range across 2 matching MRF lines |
$27.90–$46.80 | $31–$52 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 7 matching MRF lines |
$7.20–$146.70 | $8–$163 | varies |
| Lactoferrin fecal qualitative (83630) range across 4 matching MRF lines |
$24.30–$125.10 | $27–$139 | varies |
| Lactoferrin Fecal Quantitative (83631) | $24.30 | $27 | 1.2× |
| Lactogen Hpl Human Chorionic Somatomammotropin (83632) range across 2 matching MRF lines |
$25.20–$188.10 | $28–$209 | varies |
| Lactose urine qual (83633) | $13.50 | $15 | 1.2× |
| Lamellar Body Count (83664) | $24.30 | $27 | 1.3× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$14.40–$69.30 | $16–$77 | varies |
| LDL direct (83721) range across 3 matching MRF lines |
$12.60–$106.20 | $14–$118 | varies |
| Lead (83655) range across 6 matching MRF lines |
$14.40–$54 | $16–$60 | varies |
| Legionella antibody (86713) range across 3 matching MRF lines |
$18–$152.10 | $20–$169 | varies |
| Legionella antigen urine (87449) range across 8 matching MRF lines |
$14.40–$351 | $16–$390 | varies |
| Legionella DNA probe (87540) | $25.20 | $28 | 1.3× |
| Legionella pneumophila dfa (87278) range across 4 matching MRF lines |
$20.70–$146.70 | $23–$163 | varies |
| Leptospira antibody (86720) range across 2 matching MRF lines |
$20.70–$95.40 | $23–$106 | varies |
| Leucine Aminopeptidase Lap (83670) range across 2 matching MRF lines |
$11.70–$69.30 | $13–$77 | varies |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$5.40–$37.80 | $6–$42 | varies |
| Leukocyte Histamine Release (86343) range across 2 matching MRF lines |
$14.40–$90.90 | $16–$101 | varies |
| Leukocyte phagocytosis (86344) range across 2 matching MRF lines |
$12.60–$162.90 | $14–$181 | varies |
| Leukocyte transfusion (86950) | $187.20 | $208 | 1.2× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$31.50–$117 | $35–$130 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$31.50–$271.80 | $35–$302 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$365.40–$617.40 | $406–$686 | varies |
| Lidocaine (80176) range across 2 matching MRF lines |
$18–$160.20 | $20–$178 | varies |
| Lipase (83690) range across 4 matching MRF lines |
$8.10–$122.40 | $9–$136 | varies |
| Lipoprotein A (83695) range across 3 matching MRF lines |
$16.20–$133.20 | $18–$148 | varies |
| Lipoprotein Bld Quan Part (83704) range across 4 matching MRF lines |
$42.30–$97.20 | $47–$108 | varies |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) range across 2 matching MRF lines |
$13.50–$94.50 | $15–$105 | varies |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) range across 2 matching MRF lines |
$39.60–$41.40 | $44–$46 | varies |
| Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) | $14.40 | $16 | 1.1× |
| Lipoprotein-Associated Phospholipase A2 (83698) range across 2 matching MRF lines |
$57.60–$337.50 | $64–$375 | varies |
| Listeria Monocytogenes (86723) range across 2 matching MRF lines |
$15.30–$106.20 | $17–$118 | varies |
| Lithium (80178) range across 3 matching MRF lines |
$7.20–$117.90 | $8–$131 | varies |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$23.40–$144.90 | $26–$161 | varies |
| Lyme disease antibody (86618) range across 6 matching MRF lines |
$21.60–$179.10 | $24–$199 | varies |
| Lymphocyte Culture Mixed (86821) | $44.10 | $49 | 1.2× |
| Lymphocyte transformation (86353) range across 3 matching MRF lines |
$60.30–$528.30 | $67–$587 | varies |
| Lymphocytotoxicity Assay (86805) range across 2 matching MRF lines |
$232.20–$522.90 | $258–$581 | varies |
| Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) | $59.40 | $66 | 1.2× |
| Lysozyme serum (85549) range across 2 matching MRF lines |
$23.40–$95.40 | $26–$106 | varies |
| M. Genitalium Amp Probe (87563) range across 2 matching MRF lines |
$43.20–$285.30 | $48–$317 | varies |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) range across 2 matching MRF lines |
$43.20–$147.60 | $48–$164 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$187.20–$855.90 | $208–$951 | varies |
| M/phmtrc alys ishquant/semiq (88374) range across 2 matching MRF lines |
$187.20–$1,016.10 | $208–$1,129 | varies |
| Macroscopic exam arthropod (87168) range across 4 matching MRF lines |
$5.40–$151.20 | $6–$168 | varies |
| Macroscopic Exam Parasite (87169) range across 2 matching MRF lines |
$5.40–$89.10 | $6–$99 | varies |
| Magnesium Urine (83735) range across 5 matching MRF lines |
$8.10–$86.40 | $9–$96 | varies |
| Malate dehydrogenase Facility (83775) | $8.10 | $9 | 1.1× |
| Mass Spectrometry Quant (83789) range across 7 matching MRF lines |
$29.70–$394.20 | $33–$438 | varies |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) | $47.70 | $53 | 1.2× |
| Meat fibers, feces (89160) | $5.40 | $6 | 1.1× |
| Mechanical fragility rbc (85547) | $10.80 | $12 | 1.3× |
| MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303) | $147.60 | $164 | 1.2× |
| Mecp2 gene dup/delet variant (81304) | $185.40 | $206 | 1.2× |
| Mecp2 gene full seq (81302) | $648 | $720 | 1.2× |
| Mercury urine (83825) range across 4 matching MRF lines |
$20.70–$50.40 | $23–$56 | varies |
| Metabolic panel ionized ca (80047) range across 2 matching MRF lines |
$16.20–$320.40 | $18–$356 | varies |
| Methemalbumin (83857) | $12.60 | $14 | 1.2× |
| Methotrexate (80204) range across 2 matching MRF lines |
$47.70–$132.30 | $53–$147 | varies |
| Methylmalonic acid serum (83921) range across 3 matching MRF lines |
$27–$158.40 | $30–$176 | varies |
| Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436) | $111.60 | $124 | 1.2× |
| Mgmt methylation analysis (81287) range across 2 matching MRF lines |
$153–$1,885.50 | $170–$2,095 | varies |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$7.20–$145.80 | $8–$162 | varies |
| Microbe Suscept Macrobroth (87188) range across 2 matching MRF lines |
$8.10–$81.90 | $9–$91 | varies |
| Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Facility (83861) | $27.90 | $31 | 1.2× |
| Microsatellite instability (81301) range across 2 matching MRF lines |
$428.40–$1,206 | $476–$1,340 | varies |
| Microsomal Antibodies Each (86376) range across 6 matching MRF lines |
$16.20–$113.40 | $18–$126 | varies |
| Mitochondrial Antibody Each (86381) | $73.80 | $82 | 2.9× |
| Mlh1 Gene (81288) | $235.80 | $262 | 1.2× |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $249.30 | $277 | 1.2× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $828.90 | $921 | 1.2× |
| Mlh1 Gene Analysis Known Familial Variants (81293) | $406.80 | $452 | 1.2× |
| Mog-Igg1 Antb Cba Each (86362) | $472.50 | $525 | 39.2× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $956.70 | $1,063 | 25.4× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) range across 2 matching MRF lines |
$49.50–$174.60 | $55–$194 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$27–$593.10 | $30–$659 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) range across 2 matching MRF lines |
$51.30–$283.50 | $57–$315 | varies |
| Molecular Pathology Procedure Level 3 (81402) | $185.40 | $206 | 1.2× |
| Molecular Pathology Procedure Level 6 (81405) range across 2 matching MRF lines |
$370.80–$3,357 | $412–$3,730 | varies |
| Mononuclear cell antigen (86356) range across 2 matching MRF lines |
$32.40–$214.20 | $36–$238 | varies |
| Mopath procedure level 1 (81400) range across 3 matching MRF lines |
$78.30–$823.50 | $87–$915 | varies |
| Mopath procedure level 2 (81401) range across 4 matching MRF lines |
$168.30–$1,427.40 | $187–$1,586 | varies |
| Mopath procedure level 4 (81403) range across 5 matching MRF lines |
$226.80–$1,489.50 | $252–$1,655 | varies |
| Mopath procedure level 5 (81404) range across 2 matching MRF lines |
$338.40–$2,366.10 | $376–$2,629 | varies |
| Mopath procedure level 7 (81406) range across 2 matching MRF lines |
$347.40–$1,725.30 | $386–$1,917 | varies |
| Mopath procedure level 8 (81407) range across 2 matching MRF lines |
$1,038.60–$3,771.90 | $1,154–$4,191 | varies |
| Mopath procedure level 9 (81408) | $2,457.90 | $2,731 | 1.2× |
| Morphometric analysis nerve (88356) | $63 | $70 | 1.3× |
| Morphometric Analysis Tumor (88358) range across 3 matching MRF lines |
$187.20–$692.10 | $208–$769 | varies |
| Mpl gene analysis sequence analysis exon 10 (81339) range across 3 matching MRF lines |
$226.80–$721.80 | $252–$802 | varies |
| Mpl gene common variants (81338) | $185.40 | $206 | 1.2× |
| Mrsa Pcr (87641) range across 3 matching MRF lines |
$43.20–$173.70 | $48–$193 | varies |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $261.90 | $291 | 1.2× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $468.90 | $521 | 1.2× |
| Msh2 Gene Analysis Known Familial Variants (81296) | $414.90 | $461 | 1.2× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $292.50 | $325 | 1.2× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $788.40 | $876 | 1.2× |
| Msh6 Gene Known Variants (81299) | $378 | $420 | 1.2× |
| Mthfr Gene Analysis Common Variants (81291) range across 3 matching MRF lines |
$80.10–$552.60 | $89–$614 | varies |
| Mucin Clot Body Fluid (83872) range across 2 matching MRF lines |
$7.20–$37.80 | $8–$42 | varies |
| Mucopolysaccharides acid quantitative (83864) | $35.10 | $39 | 1.2× |
| Mumps antibody (86735) range across 5 matching MRF lines |
$15.30–$108.90 | $17–$121 | varies |
| Muscle-Specific Kinase Antb (86366) | $1,530 | $1,700 | 83.2× |
| Mycobacteric Identification (87118) range across 3 matching MRF lines |
$18–$135.90 | $20–$151 | varies |
| Mycophenolic Acid (80180) range across 2 matching MRF lines |
$22.50–$123.30 | $25–$137 | varies |
| Mycoplasma antibody (86738) range across 4 matching MRF lines |
$15.30–$188.10 | $17–$209 | varies |
| Mycoplasma culture (87109) range across 3 matching MRF lines |
$18–$63 | $20–$70 | varies |
| Myd88 Gene P.Leu265pro Vrnt (81305) range across 2 matching MRF lines |
$216–$1,544.40 | $240–$1,716 | varies |
| Myelin basic protein csf (83873) range across 2 matching MRF lines |
$21.60–$123.30 | $24–$137 | varies |
| Myoglobin urine (83874) range across 3 matching MRF lines |
$15.30–$138.60 | $17–$154 | varies |
| Natriuretic peptide (83880) range across 4 matching MRF lines |
$47.70–$288.90 | $53–$321 | varies |
| Neisseria Dir Na Probe (87590) range across 2 matching MRF lines |
$32.40–$53.10 | $36–$59 | varies |
| Nerve teasing preparations (88362) | $821.70 | $913 | 1.1× |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$21.60–$486.90 | $24–$541 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $157.50 | $175 | 1.2× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) range across 2 matching MRF lines |
$36–$108.90 | $40–$121 | varies |
| Nfct Agent Genotype Hepatitis B Virus (87912) range across 2 matching MRF lines |
$316.80–$844.20 | $352–$938 | varies |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) range across 2 matching MRF lines |
$316.80–$1,530 | $352–$1,700 | varies |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) range across 2 matching MRF lines |
$175.50–$351.90 | $195–$391 | varies |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $324 | $360 | 1.2× |
| Nfct ds chrnc hcv 6 assays (81596) range across 2 matching MRF lines |
$88.20–$585 | $98–$650 | varies |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $157.50 | $175 | 1.2× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) range across 2 matching MRF lines |
$31.50–$33.30 | $35–$37 | varies |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) range across 2 matching MRF lines |
$600.30–$630 | $667–$700 | varies |
| Niacin (84591) range across 5 matching MRF lines |
$21.60–$191.70 | $24–$213 | varies |
| Nickel level (83885) range across 2 matching MRF lines |
$30.60–$79.20 | $34–$88 | varies |
| Nitroblue Tetrazolium Dye (86384) | $15.30 | $17 | 1.1× |
| Nk cells total count (86357) range across 3 matching MRF lines |
$45.90–$333.90 | $51–$371 | varies |
| Noonan Spectrum Disorders (81442) | $2,633.40 | $2,926 | 1.2× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $303.30 | $337 | 1.2× |
| Nras gene variants exon 2&3 (81311) range across 2 matching MRF lines |
$363.60–$765 | $404–$850 | varies |
| Ntrk translocation analysis (81194) range across 2 matching MRF lines |
$637.20–$2,182.50 | $708–$2,425 | varies |
| Ntrk1 Translocation Analysis (81191) | $254.70 | $283 | 1.2× |
| Ntrk2 Translocation Analysis (81192) | $254.70 | $283 | 1.2× |
| Ntrk3 Translocation Analysis (81193) | $254.70 | $283 | 1.2× |
| Nuclear antigen antibody (86235) range across 17 matching MRF lines |
$22.50–$134.10 | $25–$149 | varies |
| Nuclear Mitochondrial 100 Gene Genomic Seq (81440) | $4,084.20 | $4,538 | 1.2× |
| Nudt15 Gene Common Variants (81306) | $357.30 | $397 | 1.2× |
| Nzym actv blood cells/tiss radact substrate ea (82658) range across 2 matching MRF lines |
$54–$91.80 | $60–$102 | varies |
| Obstetric panel (80081) | $91.80 | $102 | 1.2× |
| Occult blood feces (82272) range across 3 matching MRF lines |
$5.40–$67.50 | $6–$75 | varies |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$6.30–$50.40 | $7–$56 | varies |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$34.20–$55.80 | $38–$62 | varies |
| Onc breast mrna 12 genes (81522) | $4,758.30 | $5,287 | 1.2× |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) | $319.50 | $355 | 1.2× |
| Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping),… (81520) | $3,086.10 | $3,429 | 1.2× |
| Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping),… (81518) | $4,758.30 | $5,287 | 1.2× |
| Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing… (81521) | $4,758.30 | $5,287 | 1.2× |
| Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping),… (81525) | $3,828.60 | $4,254 | 1.2× |
| Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS… (81528) | $625.50 | $695 | 1.2× |
| Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3… (81529) | $8,838.90 | $9,821 | 1.2× |
| Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive… (81536) | $218.70 | $243 | 1.2× |
| Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive… (81535) | $711.90 | $791 | 1.2× |
| Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and… (81538) | $3,528 | $3,920 | 1.2× |
| Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping),… (81541) | $4,758.30 | $5,287 | 1.2× |
| Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed… (81542) | $4,758.30 | $5,287 | 1.2× |
| Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing… (81551) | $2,494.80 | $2,772 | 1.2× |
| Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported… (81546) | $4,423.50 | $4,915 | 1.2× |
| Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes, utilizing formalin-fixed… (81504) | $639 | $710 | 1.2× |
| Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5… (81540) | $4,608.90 | $5,121 | 1.2× |
| Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3… (81552) | $9,555.30 | $10,617 | 1.2× |
| Oncology breast mrna gene expression 21 genes (81519) | $4,758.30 | $5,287 | 1.2× |
| Oncology Prostate Prob Score (81539) range across 2 matching MRF lines |
$934.20–$1,417.50 | $1,038–$1,575 | varies |
| Oncoprotein dcp (83951) | $79.20 | $88 | 1.2× |
| Oncoprotein Her-2/Neu (83950) | $79.20 | $88 | 1.2× |
| Oocyte identification from follicular fluid (89254) | $187.20 | $208 | 1.2× |
| Organic Acids Qualitative Each Specimen (83919) range across 2 matching MRF lines |
$21.60–$83.70 | $24–$93 | varies |
| Organic acids urine (83918) range across 2 matching MRF lines |
$29.70–$136.80 | $33–$152 | varies |
| Osmolality serum (83930) range across 3 matching MRF lines |
$7.20–$108.90 | $8–$121 | varies |
| Osmolality Urine (83935) range across 3 matching MRF lines |
$8.10–$100.80 | $9–$112 | varies |
| Osmotic fragility rbc incubated (85557) range across 2 matching MRF lines |
$15.30–$60.30 | $17–$67 | varies |
| Osmotic Fragility RBC Unincubated (85555) | $8.10 | $9 | 1.1× |
| Osteocalcin (83937) range across 2 matching MRF lines |
$36.90–$72 | $41–$80 | varies |
| Outpatient Global Laboratory, Radiology and Diagnostic Services (89346) | $365.40 | $406 | 2.2× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$10.80–$67.50 | $12–$75 | varies |
| Ova1 (81503) | $1,102.50 | $1,225 | 1.2× |
| Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) | $14.40 | $16 | 1.1× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$16.20–$80.10 | $18–$89 | varies |
| PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect… (81312) | $168.30 | $187 | 1.2× |
| Palb2 gene analysis known familial variant (81308) | $370.80 | $412 | 1.2× |
| Palb2 gene full gene seq (81307) | $831.60 | $924 | 1.2× |
| Pancreatic Elastase Fecal (82656) | $13.50 | $15 | 1.2× |
| Particle Agglut Antbdy Titr (86406) | $12.60 | $14 | 1.2× |
| Particle Agglutination Screen Each Antibody (86403) range across 14 matching MRF lines |
$13.50–$218.70 | $15–$243 | varies |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$18–$34.20 | $20–$38 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) range across 2 matching MRF lines |
$821.70–$890.10 | $913–$989 | varies |
| Pathology Consultation During Surgery (88329) range across 2 matching MRF lines |
$42.30–$76.50 | $47–$85 | varies |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | $312.30 | $347 | 1.2× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $405 | $450 | 1.2× |
| Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417) | $54 | $60 | 1.2× |
| Ph urine (81003) range across 3 matching MRF lines |
$3.27–$111.60 | $3.63–$124 | varies |
| pH; exhaled breath condensate Facility (83987) | $4.36 | $4.84 | 1.2× |
| Phenobarbital Level (80184) range across 4 matching MRF lines |
$18–$291.60 | $20–$324 | varies |
| Phenotype Infect Agent Drug (87900) | $159.30 | $177 | 1.2× |
| Phenylalanine (84030) range across 2 matching MRF lines |
$6.30–$38.70 | $7–$43 | varies |
| Phenylketones qual (84035) | $4.36 | $4.84 | 1.1× |
| Phenytoin (Dilantin) (80185) range across 4 matching MRF lines |
$15.30–$270.90 | $17–$301 | varies |
| Phenytoin free (80186) range across 4 matching MRF lines |
$16.20–$121.50 | $18–$135 | varies |
| Phosphatase acid prostatic (84066) range across 2 matching MRF lines |
$11.70–$65.70 | $13–$73 | varies |
| Phosphatase alkaline (84075) range across 9 matching MRF lines |
$5.40–$36 | $6–$40 | varies |
| Phosphatidylglycerol (84081) range across 3 matching MRF lines |
$21.60–$45 | $24–$50 | varies |
| Phosphogluconate, 6-, dehydrogenase, RBC Facility (84085) | $11.70 | $13 | 1.2× |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$22.50–$165.60 | $25–$184 | varies |
| Phosphorus Serum (84100) range across 5 matching MRF lines |
$5.40–$61.20 | $6–$68 | varies |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$7.20–$92.70 | $8–$103 | varies |
| Pik3ca gene analysis targeted sequence analysis (81309) | $338.40 | $376 | 1.2× |
| Pinworm exam (87172) range across 2 matching MRF lines |
$5.40–$153 | $6–$170 | varies |
| Platelet Aggregation (85576) range across 6 matching MRF lines |
$30.60–$99.90 | $34–$111 | varies |
| Platelet Antibodies (86022) range across 6 matching MRF lines |
$23.40–$797.40 | $26–$886 | varies |
| Platelet count automated (85049) range across 4 matching MRF lines |
$5.40–$45 | $6–$50 | varies |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$22.50–$72 | $25–$80 | varies |
| PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F,… (81320) | $357.30 | $397 | 1.2× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) range across 2 matching MRF lines |
$254.70–$1,796.40 | $283–$1,996 | varies |
| PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia)… (81316) | $254.70 | $283 | 1.2× |
| PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure… (81326) | $58.50 | $65 | 1.3× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $932.40 | $1,036 | 1.2× |
| Pmp22 Gene Analysis Full Sequence Analysis (81325) | $945.90 | $1,051 | 1.2× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $250.20 | $278 | 1.2× |
| Pms2 gene analysis known familial variants (81318) | $406.80 | $452 | 1.2× |
| Pms2 gene full seq analysis (81317) | $831.60 | $924 | 1.2× |
| Pooling blood platelets (86965) range across 2 matching MRF lines |
$173.70–$187.20 | $193–$208 | varies |
| Porphobilinogen Urine Qualitative (84106) | $7.20 | $8 | 1.2× |
| Porphobilinogen, urine; quantitative (84110) | $10.80 | $12 | 1.3× |
| Porphyrins Feces Quantitative (84126) range across 2 matching MRF lines |
$47.70–$128.70 | $53–$143 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$18–$41.40 | $20–$46 | varies |
| Porphyrins, urine; qualitative (84119) | $15.30 | $17 | 1.1× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$5.40–$64.80 | $6–$72 | varies |
| PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to… (81343) | $168.30 | $187 | 1.2× |
| Pr assay of bradykinin (82286) | $6.30 | $7 | 1.2× |
| Pr assay of etiocholanolone (82696) | $32.40 | $36 | 1.2× |
| Prealbumin (84134) range across 2 matching MRF lines |
$16.20–$141.30 | $18–$157 | varies |
| Pregnancy-Associated Plasma Protein-A (84163) | $18 | $20 | 1.2× |
| Pregnanediol (84135) | $27 | $30 | 1.3× |
| Pregnanetriol (84138) | $27 | $30 | 1.3× |
| Pregnenolone (84140) range across 2 matching MRF lines |
$25.20–$115.20 | $28–$128 | varies |
| Preparation of embryo for transfer (89255) | $63 | $70 | 1.3× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) range across 2 matching MRF lines |
$173.70–$187.20 | $193–$208 | varies |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 4 matching MRF lines |
$28.80–$149.40 | $32–$166 | varies |
| Pretx serum rbc antibody identification dilution (86976) | $31.50 | $35 | 1.1× |
| Primidone (80188) range across 2 matching MRF lines |
$21.60–$69.30 | $24–$77 | varies |
| Procalcitonin (Pct) (84145) range across 3 matching MRF lines |
$34.20–$262.80 | $38–$292 | varies |
| Progesterone (84144) range across 3 matching MRF lines |
$27–$165.60 | $30–$184 | varies |
| Prolactin (84146) range across 11 matching MRF lines |
$24.30–$303.30 | $27–$337 | varies |
| Prostaglandin (84150) range across 2 matching MRF lines |
$50.40–$787.50 | $56–$875 | varies |
| Protein Alys Wstrn Blot I&R Immunological Ea (88372) | $32.40 | $36 | 1.2× |
| Protein body fluid (84157) range across 4 matching MRF lines |
$5.40–$75.60 | $6–$84 | varies |
| Protein C Activity (85303) range across 3 matching MRF lines |
$16.20–$189.90 | $18–$211 | varies |
| Protein c antigen (85302) range across 2 matching MRF lines |
$14.40–$46.80 | $16–$52 | varies |
| Protein Electrophoresis Urine (84166) range across 5 matching MRF lines |
$22.50–$135.90 | $25–$151 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 5 matching MRF lines |
$12.60–$130.50 | $14–$145 | varies |
| Protein S Free (85306) range across 3 matching MRF lines |
$18–$211.50 | $20–$235 | varies |
| Protein s total (85305) range across 3 matching MRF lines |
$13.50–$185.40 | $15–$206 | varies |
| Protein test for diagnosis and monitoring of bladder cancer (86386) | $27.90 | $31 | 1.3× |
| Protein Total Refractometry Any Src (84160) | $6.30 | $7 | 1.1× |
| Protein total serum (84155) range across 11 matching MRF lines |
$4.36–$54 | $4.84–$60 | varies |
| Protein Total Urine (84156) range across 5 matching MRF lines |
$4.36–$75.60 | $4.84–$84 | varies |
| Protein Western Blot Test (84182) range across 3 matching MRF lines |
$36–$154.80 | $40–$172 | varies |
| Protein, western blot tissue (88371) | $27.90 | $31 | 1.3× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 2 matching MRF lines |
$4.36–$139.50 | $4.84–$155 | varies |
| Protoporphyrin rbc quantitative (84202) range across 3 matching MRF lines |
$16.20–$78.30 | $18–$87 | varies |
| Protoporphyrin, RBC; screen Facility (84203) | $11.70 | $13 | 1.2× |
| PSA free (84154) range across 3 matching MRF lines |
$23.40–$185.40 | $26–$206 | varies |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $369 | $410 | 1.2× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $738 | $820 | 1.2× |
| Pten gene analysis known familial variant (81322) | $58.50 | $65 | 1.3× |
| Pth Intact (83970) range across 3 matching MRF lines |
$50.40–$192.60 | $56–$214 | varies |
| Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing… (81554) | $6,758.10 | $7,509 | 1.2× |
| Pyruvate kinase (84220) range across 2 matching MRF lines |
$11.70–$60.30 | $13–$67 | varies |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$14.40–$146.70 | $16–$163 | varies |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$75.60–$264.60 | $84–$294 | varies |
| Quantitative assay drug (80299) range across 7 matching MRF lines |
$23.40–$275.40 | $26–$306 | varies |
| Quantitative Screen Metals (83018) range across 4 matching MRF lines |
$27.90–$113.40 | $31–$126 | varies |
| Quinidine (80194) range across 2 matching MRF lines |
$16.20–$123.30 | $18–$137 | varies |
| Quinine (84228) | $13.50 | $15 | 1.2× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$117–$187.20 | $130–$208 | varies |
| Rbc antibody identification (86870) range across 4 matching MRF lines |
$327.60–$427.50 | $364–$475 | varies |
| Rbc antibody screen (86850) range across 4 matching MRF lines |
$11.70–$74.70 | $13–$83 | varies |
| Rbc pretreatment serum (86978) range across 7 matching MRF lines |
$42.30–$294.30 | $47–$327 | varies |
| Rbc pretx incubatj w/enzymes (86971) range across 2 matching MRF lines |
$327.60–$365.40 | $364–$406 | varies |
| Rbc serum pretx incubj drugs (86975) | $340.20 | $378 | 0.8× |
| Reagent Strip/Blood Glucose (82948) | $6.30 | $7 | 1.3× |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) range across 2 matching MRF lines |
$86.40–$101.70 | $96–$113 | varies |
| Receptor assay estrogen (84233) | $108 | $120 | 1.2× |
| Receptor assay progesterone (84234) | $79.20 | $88 | 1.2× |
| Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Facility (80416) | $258.30 | $287 | 1.2× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$27.90–$72 | $31–$80 | varies |
| Reptilase test (85635) range across 3 matching MRF lines |
$11.70–$174.60 | $13–$194 | varies |
| Resp virus 12-25 targets (87633) | $513 | $570 | 1.2× |
| Resp Virus 6-11 Targets (87632) | $267.30 | $297 | 1.2× |
| Reticulated Platelet Assay (85055) | $43.20 | $48 | 1.2× |
| Reticulocyte Count (85046) | $6.30 | $7 | 1.1× |
| Reticulocyte Count Manual (85044) | $5.40 | $6 | 1.3× |
| Reticulocyte separation (86972) range across 2 matching MRF lines |
$173.70–$187.20 | $193–$208 | varies |
| Rh (86901) range across 2 matching MRF lines |
$3.27–$28.80 | $3.63–$32 | varies |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$7.20–$218.70 | $8–$243 | varies |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
$6.30–$218.70 | $7–$243 | varies |
| Rickettsia antibody (86757) range across 3 matching MRF lines |
$24.30–$333.90 | $27–$371 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$28.80–$68.40 | $32–$76 | varies |
| Rotavirus ag eia (87425) range across 3 matching MRF lines |
$14.40–$252.90 | $16–$281 | varies |
| Rpr qualitative (86592) range across 5 matching MRF lines |
$5.40–$161.10 | $6–$179 | varies |
| Rsv ab (86756) range across 2 matching MRF lines |
$20.70–$33.30 | $23–$37 | varies |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$15.30–$238.50 | $17–$265 | varies |
| Rubella Antibody (86762) range across 7 matching MRF lines |
$16.20–$148.50 | $18–$165 | varies |
| Rubeola antibody (86765) range across 4 matching MRF lines |
$15.30–$66.60 | $17–$74 | varies |
| Rufinamide (80210) range across 2 matching MRF lines |
$34.20–$212.40 | $38–$236 | varies |
| Runx1 gene analysis targeted sequence analysis (81334) | $405 | $450 | 1.2× |
| Russell Viper Venom Time Diluted (85613) range across 5 matching MRF lines |
$11.70–$125.10 | $13–$139 | varies |
| Russell Viper Venon Time Undiluted (85612) | $22.50 | $25 | 1.3× |
| Salicylate Level (80179) range across 2 matching MRF lines |
$23.40–$90 | $26–$100 | varies |
| Salmonella antibody (86768) range across 2 matching MRF lines |
$15.30–$117 | $17–$130 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$44.10–$370.80 | $49–$412 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$29.70–$117 | $33–$130 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $498.60 | $554 | 3.5× |
| Sedimentation rate (85651) | $5.40 | $6 | 1.3× |
| Sedimentation Rate, Automated (85652) range across 3 matching MRF lines |
$3.27–$45 | $3.63–$50 | varies |
| Selenium (84255) range across 3 matching MRF lines |
$31.50–$71.10 | $35–$79 | varies |
| Semen Anal Sperm Detection (89321) range across 2 matching MRF lines |
$14.40–$370.80 | $16–$412 | varies |
| Semen analysis complete (89322) range across 2 matching MRF lines |
$20.70–$1,035 | $23–$1,150 | varies |
| Semen analysis complete (89320) | $14.40 | $16 | 1.2× |
| Semen analysis motility and count (89310) | $10.80 | $12 | 1.3× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $11.70 | $13 | 1.2× |
| Sensitivity mic (87186) range across 5 matching MRF lines |
$10.80–$147.60 | $12–$164 | varies |
| Sept9 Methylation Analysis (81327) | $235.80 | $262 | 1.2× |
| Serpina 1 gene (81332) range across 2 matching MRF lines |
$45.90–$52.20 | $51–$58 | varies |
| Serum Bactericidal Titer (87197) | $18 | $20 | 1.2× |
| Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative… (86413) | $79.20 | $88 | 1.5× |
| Sex Chromatin Identification Barr Bodies (88130) | $22.50 | $25 | 1.3× |
| Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) | $9 | $10 | 1.1× |
| Sex Hormone Binding Globulin (84270) range across 3 matching MRF lines |
$27.90–$81.90 | $31–$91 | varies |
| SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common… (81347) | $236.70 | $263 | 1.2× |
| Shigella Antibody (86771) | $30.60 | $34 | 1.3× |
| Sickling of rbc reduction (85660) range across 5 matching MRF lines |
$6.30–$73.80 | $7–$82 | varies |
| Silica (84285) | $30.60 | $34 | 1.2× |
| Sirolimus (80195) range across 2 matching MRF lines |
$16.20–$107.10 | $18–$119 | varies |
| Skin Test Candida (86485) | $31.50 | $35 | 1.1× |
| Skin test tuberculosis intradermal (86580) range across 4 matching MRF lines |
$29.70–$45 | $33–$50 | varies |
| Skin test unlisted antigen each (86486) | $31.50 | $35 | 1.1× |
| Skin test; histoplasmosis (86510) | $70.20 | $78 | 2.0× |
| SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) | $216 | $240 | 1.2× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$6.30–$51.30 | $7–$57 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$22.50–$67.50 | $25–$75 | varies |
| Smear gram stain (87205) range across 4 matching MRF lines |
$5.40–$79.20 | $6–$88 | varies |
| Smear Special Stain (87207) range across 4 matching MRF lines |
$7.20–$84.60 | $8–$94 | varies |
| Smn1 Gen Nown Famil Seq Vrnt (81337) | $226.80 | $252 | 1.2× |
| Smn1 Gene Analysis Full Gene Sequence (81336) | $370.80 | $412 | 1.2× |
| Smn1 Gene Dos/Deletion Alys (81329) | $168.30 | $187 | 1.2× |
| Smpd1 Gene Analysis Common Variants (81330) | $58.50 | $65 | 1.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 5 matching MRF lines |
$7.20–$151.20 | $8–$168 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) range across 2 matching MRF lines |
$63.90–$525.60 | $71–$584 | varies |
| Sodium Serum (84295) range across 14 matching MRF lines |
$5.40–$33.30 | $6–$37 | varies |
| Sodium Urine (84300) range across 3 matching MRF lines |
$6.30–$64.80 | $7–$72 | varies |
| Soluble fibrin monomer (85366) range across 5 matching MRF lines |
$86.40–$288 | $96–$320 | varies |
| Soluble Transferrin Receptor (84238) range across 4 matching MRF lines |
$44.10–$117 | $49–$130 | varies |
| Somatomedin (84305) range across 3 matching MRF lines |
$27–$213.30 | $30–$237 | varies |
| Somatostatin (84307) range across 2 matching MRF lines |
$23.40–$198 | $26–$220 | varies |
| Special Stains Group 1 (88312) range across 6 matching MRF lines |
$63–$308.70 | $70–$343 | varies |
| Special Stains Group 2 (88313) range across 9 matching MRF lines |
$42.30–$250.20 | $47–$278 | varies |
| Specific gravity body fluid (84315) range across 2 matching MRF lines |
$4.36–$38.70 | $4.84–$43 | varies |
| Specimen infect agnt concntj (87015) range across 5 matching MRF lines |
$8.10–$129.60 | $9–$144 | varies |
| Spectrophotometry (84311) range across 3 matching MRF lines |
$9–$92.70 | $10–$103 | varies |
| Sperm Antibodies (89325) range across 2 matching MRF lines |
$12.60–$173.70 | $14–$193 | varies |
| Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)… (89331) | $24.30 | $27 | 1.2× |
| Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Facility (89330) | $12.60 | $14 | 1.2× |
| Sperm evaluation; hamster penetration test Facility (89329) | $24.30 | $27 | 1.2× |
| Sperm identification from aspiration (89257) | $63 | $70 | 1.3× |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) | $63 | $70 | 1.3× |
| Splitting Blood/Blood Products Each Unit (86985) range across 2 matching MRF lines |
$173.70–$187.20 | $193–$208 | varies |
| Sprm id from tstis tiss frsh/cryoprsrvd (89264) | $63 | $70 | 1.3× |
| Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) | $63 | $70 | 1.3× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $187.20 | $208 | 1.2× |
| Srsf2 gene common variants (81348) | $216 | $240 | 1.2× |
| Staph a DNA amp probe (87640) | $43.20 | $48 | 1.2× |
| Stem cells total count (86367) | $96.30 | $107 | 1.2× |
| Stone Analysis (82355) | $13.50 | $15 | 1.2× |
| Stool cultr aerobic bact ea (87046) range across 8 matching MRF lines |
$11.70–$120.60 | $13–$134 | varies |
| Storage (per year); reproductive tissue, testicular/ovarian Facility Physician Professional Component (89344) | $187.20 | $208 | 1.2× |
| Storage per Year Embryo (89342) | $187.20 | $208 | 1.2× |
| Storage per year sperm/semen (89343) | $187.20 | $208 | 1.2× |
| Strep a assay w/optic (87880) range across 3 matching MRF lines |
$21.60–$108.90 | $24–$121 | varies |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$43.20–$140.40 | $48–$156 | varies |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
$43.20–$129.60 | $48–$144 | varies |
| Streptokinase, antibody Facility (86590) | $14.40 | $16 | 1.1× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $157.50 | $175 | 1.7× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) range across 3 matching MRF lines |
$13.50–$169.20 | $15–$188 | varies |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) range across 3 matching MRF lines |
$6.30–$104.40 | $7–$116 | varies |
| Sugars Multiple Quant (84379) | $13.50 | $15 | 1.2× |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$6.30–$86.40 | $7–$96 | varies |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) | $47.70 | $53 | 1.2× |
| Sulfate urine (84392) range across 2 matching MRF lines |
$6.30–$91.80 | $7–$102 | varies |
| Surg path level iii (88304) range across 2 matching MRF lines |
$63–$392.40 | $70–$436 | varies |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$417.60–$432.90 | $464–$481 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$707.40–$821.70 | $786–$913 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 3 matching MRF lines |
$5.40–$62.10 | $6–$69 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $8.10 | $9 | 1.1× |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) range across 2 matching MRF lines |
$48.60–$56.70 | $54–$63 | varies |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) range across 2 matching MRF lines |
$8.10–$67.50 | $9–$75 | varies |
| Sweat Collection Iontophoresis (89230) range across 2 matching MRF lines |
$63–$539.10 | $70–$599 | varies |
| Syphilis Test Non-Trep Quant (86593) range across 3 matching MRF lines |
$5.40–$144 | $6–$160 | varies |
| T cells absolute cd4 count (86361) | $32.40 | $36 | 1.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 4 matching MRF lines |
$58.50–$356.40 | $65–$396 | varies |
| T cells total count (86359) range across 4 matching MRF lines |
$45.90–$333.90 | $51–$371 | varies |
| T3 Free (84481) range across 3 matching MRF lines |
$21.60–$266.40 | $24–$296 | varies |
| T3 reverse (84482) range across 3 matching MRF lines |
$20.70–$186.30 | $23–$207 | varies |
| T3 Total (84480) range across 3 matching MRF lines |
$16.20–$238.50 | $18–$265 | varies |
| T3 Uptake (84479) range across 4 matching MRF lines |
$7.20–$270 | $8–$300 | varies |
| T4 Free (84439) range across 6 matching MRF lines |
$10.80–$182.70 | $12–$203 | varies |
| T4 total (84436) range across 4 matching MRF lines |
$8.10–$126.90 | $9–$141 | varies |
| T4-neonatal (84437) | $7.20 | $8 | 1.1× |
| Tacrolimus (80197) range across 2 matching MRF lines |
$16.20–$115.20 | $18–$128 | varies |
| Tb ag response t-cell susp (86481) range across 2 matching MRF lines |
$122.40–$154.80 | $136–$172 | varies |
| Tbp Gene Analysis Eval Detect Abnormal Alleles (81344) | $168.30 | $187 | 1.2× |
| Tert gene targeted seq alys (81345) range across 2 matching MRF lines |
$226.80–$2,619 | $252–$2,910 | varies |
| Test for acetone/ketones (82009) range across 2 matching MRF lines |
$5.40–$61.20 | $6–$68 | varies |
| Test for urine cystines (82615) | $11.70 | $13 | 1.2× |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
$63.90–$89.10 | $71–$99 | varies |
| Testosterone total (84403) range across 4 matching MRF lines |
$31.50–$182.70 | $35–$203 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$31.50–$104.40 | $35–$116 | varies |
| Tetanus antibody (86774) range across 2 matching MRF lines |
$18–$106.20 | $20–$118 | varies |
| TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H,… (81333) | $168.30 | $187 | 1.2× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $734.40 | $816 | 1.2× |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) | $2,041.20 | $2,268 | 3.4× |
| Thaw cryoprsvrd reprod tiss (89354) | $187.20 | $208 | 1.2× |
| Thawing and expansion of frozen cells, each aliquot Facility (88241) | $14.40 | $16 | 1.2× |
| Thawing Cryopreserved Oocytes Each Aliquot (89356) | $187.20 | $208 | 1.2× |
| Thawing Cryopresrved Sperm (89353) | $63 | $70 | 1.3× |
| Thawing of cryopreserved embryos (89352) | $187.20 | $208 | 1.2× |
| Theophylline (80198) range across 2 matching MRF lines |
$16.20–$131.40 | $18–$146 | varies |
| Thiocyanate (84430) range across 2 matching MRF lines |
$13.50–$80.10 | $15–$89 | varies |
| Thiopurine methyltransferase (84433) | $625.50 | $695 | 28.2× |
| Thrombin Time (85670) range across 6 matching MRF lines |
$7.20–$168.30 | $8–$187 | varies |
| Thrombin time titer (85675) | $8.10 | $9 | 1.2× |
| Thrombomodulin Facility (85337) | $22.50 | $25 | 1.3× |
| Thromboplastin Inhibition Tissue (85705) | $11.70 | $13 | 1.2× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 3 matching MRF lines |
$7.20–$501.30 | $8–$557 | varies |
| Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) range across 2 matching MRF lines |
$43.20–$332.10 | $48–$369 | varies |
| Thyroglobulin (84432) range across 5 matching MRF lines |
$20.70–$117 | $23–$130 | varies |
| Thyroglobulin Antibody (86800) range across 6 matching MRF lines |
$20.70–$138.60 | $23–$154 | varies |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
$63–$106.20 | $70–$118 | varies |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) range across 2 matching MRF lines |
$63–$1,160.10 | $70–$1,289 | varies |
| Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) range across 2 matching MRF lines |
$81.90–$1,548.90 | $91–$1,721 | varies |
| Thyroxine binding globulin (84442) range across 2 matching MRF lines |
$18–$96.30 | $20–$107 | varies |
| Tiss cul neo disorders solid tumor (88239) range across 2 matching MRF lines |
$181.80–$692.10 | $202–$769 | varies |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$106.20–$126 | $118–$140 | varies |
| Tissue Culture (88233) range across 2 matching MRF lines |
$173.70–$297.90 | $193–$331 | varies |
| Tissue Culture Amniotic Fluid (88235) range across 2 matching MRF lines |
$185.40–$222.30 | $206–$247 | varies |
| Tissue culture bone marrow (88237) range across 3 matching MRF lines |
$176.40–$962.10 | $196–$1,069 | varies |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$144–$797.40 | $160–$886 | varies |
| Tobramycin peak (80200) range across 3 matching MRF lines |
$20.70–$369 | $23–$410 | varies |
| Topiramate (80201) range across 2 matching MRF lines |
$13.50–$98.10 | $15–$109 | varies |
| Touch prep (88161) range across 4 matching MRF lines |
$31.50–$261 | $35–$290 | varies |
| Toxin/Antitoxin Assay Tissue Culture (87230) range across 2 matching MRF lines |
$24.30–$81 | $27–$90 | varies |
| Toxoplasma ab igm (86778) range across 4 matching MRF lines |
$16.20–$162.90 | $18–$181 | varies |
| Toxoplasma antibody (86777) range across 4 matching MRF lines |
$16.20–$130.50 | $18–$145 | varies |
| TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant Facility (81353) | $378 | $420 | 1.2× |
| Tp53 gene analysis full gene sequence (81351) | $788.40 | $876 | 1.2× |
| Tp53 gene analysis targeted sequence analysis (81352) | $405 | $450 | 1.2× |
| Tpmt gene com variants (81335) | $216 | $240 | 1.2× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 8 matching MRF lines |
$5.40–$36 | $6–$40 | varies |
| Transferrin (84466) range across 5 matching MRF lines |
$14.40–$92.70 | $16–$103 | varies |
| Trb@ gene rearrange dirprobe (81341) | $61.20 | $68 | 1.2× |
| Trb@ Rearrangement Anal Amplification Method (81340) range across 2 matching MRF lines |
$256.50–$587.70 | $285–$653 | varies |
| Trg gene rearrangement anal (81342) range across 2 matching MRF lines |
$248.40–$567 | $276–$630 | varies |
| Trichinella Antibody (86784) range across 2 matching MRF lines |
$14.40–$85.50 | $16–$95 | varies |
| Trichomonas vagin dir probe (87660) range across 3 matching MRF lines |
$25.20–$130.50 | $28–$145 | varies |
| Trichomonas Vaginalis Amplif (87661) range across 7 matching MRF lines |
$43.20–$333 | $48–$370 | varies |
| Triglycerides (84478) range across 9 matching MRF lines |
$6.30–$48.60 | $7–$54 | varies |
| Troponin Quant (84484) range across 4 matching MRF lines |
$14.40–$169.20 | $16–$188 | varies |
| Troponin, qualitative (84512) | $11.70 | $13 | 1.2× |
| Trypsin feces qual (84488) range across 2 matching MRF lines |
$8.10–$75.60 | $9–$84 | varies |
| Tumor immunohistochem/comput (88361) range across 8 matching MRF lines |
$365.40–$598.50 | $406–$665 | varies |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$187.20–$192.60 | $208–$214 | varies |
| Tyms Gene Analysis Common Variants (81346) | $216 | $240 | 1.2× |
| U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis,… (81357) | $236.70 | $263 | 1.2× |
| Ugt1a1 gene analysis common variants (81350) range across 2 matching MRF lines |
$288–$2,344.50 | $320–$2,605 | varies |
| Unlisted Cytogenetic Study (88299) range across 2 matching MRF lines |
$63–$496.80 | $70–$552 | varies |
| Unlisted miscellaneous pathology test (89240) | $63 | $70 | 1.3× |
| Unlisted reproductive medicine lab procedure (89398) | $63 | $70 | 1.3× |
| Unlisted Surgical Pathology Procedure (88399) range across 3 matching MRF lines |
$63–$3,349.80 | $70–$3,722 | varies |
| Unlisted Transfusion Medicine Procedure (86999) | $31.50 | $35 | 1.1× |
| Urea Nitrogen Clearance (84545) | $8.10 | $9 | 1.1× |
| Urea nitrogen urine (84540) range across 4 matching MRF lines |
$6.30–$73.80 | $7–$82 | varies |
| Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) | $6.30 | $7 | 1.2× |
| Uric acid other source (84560) range across 4 matching MRF lines |
$6.30–$86.40 | $7–$96 | varies |
| Urinalysis Microscopic Only (81015) range across 3 matching MRF lines |
$3.27–$117.90 | $3.63–$131 | varies |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) range across 3 matching MRF lines |
$2.18–$111.60 | $2.42–$124 | varies |
| Urinalysis Volume Measure (81050) range across 2 matching MRF lines |
$4.36–$57.60 | $4.84–$64 | varies |
| Urinalysis; 2 or 3 glass test Facility (81020) | $5.40 | $6 | 1.1× |
| Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) | $36.90 | $41 | 1.2× |
| Urine Albumin Semiquantitative (82044) | $7.20 | $8 | 1.2× |
| Urine Bacteria Culture (87088) | $9 | $10 | 1.1× |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
$10.80–$141.30 | $12–$157 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 5 matching MRF lines |
$4.36–$142.20 | $4.84–$158 | varies |
| Urobilinogen urine qual (84578) | $5.40 | $6 | 1.2× |
| Urobilinogen, feces, quantitative Facility (84577) | $21.60 | $24 | 1.3× |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) range across 2 matching MRF lines |
$11.70–$34.20 | $13–$38 | varies |
| Urobilinogen, urine; semiquantitative Facility (84583) | $7.20 | $8 | 1.2× |
| Valproic acid (80164) range across 3 matching MRF lines |
$15.30–$271.80 | $17–$302 | varies |
| Vancomycin (80202) range across 2 matching MRF lines |
$15.30–$262.80 | $17–$292 | varies |
| Varicella-zoster antibody (86787) range across 5 matching MRF lines |
$15.30–$279.90 | $17–$311 | varies |
| Vasopressin (84588) range across 2 matching MRF lines |
$41.40–$71.10 | $46–$79 | varies |
| Very Long Chain Fatty Acids (82726) range across 2 matching MRF lines |
$24.30–$45 | $27–$50 | varies |
| Viral Culture (87252) range across 4 matching MRF lines |
$31.50–$109.80 | $35–$122 | varies |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$15.30–$258.30 | $17–$287 | varies |
| Virus inoculate tissue addl (87253) range across 3 matching MRF lines |
$25.20–$366.30 | $28–$407 | varies |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$24.30–$105.30 | $27–$117 | varies |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) | $24.30 | $27 | 1.2× |
| Viscosity serum (85810) range across 3 matching MRF lines |
$13.50–$135 | $15–$150 | varies |
| Vit D 1 25-Dihydroxy (82652) range across 3 matching MRF lines |
$47.70–$304.20 | $53–$338 | varies |
| Vitamin A (84590) range across 3 matching MRF lines |
$13.50–$68.40 | $15–$76 | varies |
| Vitamin b-12 (82607) range across 3 matching MRF lines |
$18–$183.60 | $20–$204 | varies |
| Vitamin B2 (Riboflavin) (84252) range across 2 matching MRF lines |
$25.20–$123.30 | $28–$137 | varies |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$35.10–$124.20 | $39–$138 | varies |
| Vitamin c (82180) range across 2 matching MRF lines |
$11.70–$81.90 | $13–$91 | varies |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$36–$104.40 | $40–$116 | varies |
| Vitamin E (84446) range across 3 matching MRF lines |
$16.20–$54 | $18–$60 | varies |
| Vitamin K (84597) range across 2 matching MRF lines |
$16.20–$174.60 | $18–$194 | varies |
| Vkorc1 gene (81355) | $108.90 | $121 | 1.2× |
| Volatiles (84600) | $21.60 | $24 | 1.3× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $258.30 | $287 | 21.4× |
| Volume Reduction Blood/Blood Product Each Unit (86960) | $187.20 | $208 | 1.2× |
| Von willebrand factor ag (85246) range across 5 matching MRF lines |
$28.80–$256.50 | $32–$285 | varies |
| Wbc Alkaline Phosphatase Count (85540) range across 2 matching MRF lines |
$10.80–$54 | $12–$60 | varies |
| West nile virus ab igm (86788) range across 4 matching MRF lines |
$21.60–$447.30 | $24–$497 | varies |
| West Nile Virus Antibody (86789) range across 4 matching MRF lines |
$16.20–$382.50 | $18–$425 | varies |
| Western Blot Test (84181) range across 2 matching MRF lines |
$21.60–$297 | $24–$330 | varies |
| Whole Mitochondrial Genome (81460) | $1,581.30 | $1,757 | 1.2× |
| Whole mitochondrial genome analysis panel (81465) | $1,150.20 | $1,278 | 1.2× |
| X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis,… (81471) | $1,123.20 | $1,248 | 1.2× |
| X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must… (81470) | $1,123.20 | $1,248 | 1.2× |
| Xm Archive Tissue Molec Anal (88363) | $31.50 | $35 | 1.1× |
| Xylose Absorption Test (84620) | $15.30 | $17 | 1.2× |
| Zika Virus Dna/Rna Amp Probe (87662) range across 2 matching MRF lines |
$63.90–$522.90 | $71–$581 | varies |
| Zika Virus Igm Antibody (86794) | $21.60 | $24 | 1.3× |
| Zinc (84630) range across 2 matching MRF lines |
$13.50–$54 | $15–$60 | varies |
| ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute… (81360) | $236.70 | $263 | 1.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.